Active NPI
Garden State Surgical Associates, P.a.
- Vascular Surgery Physician
- South Plainfield, NJ
National Provider Identifier
1881633790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- GARDEN STATE SURGICAL ASSOCIATES, P.A.
- Practice address
- 1511 Park Ave
South Plainfield, NJ 07080-5516 - Phone
- (908) 561-9500
- Fax
- (908) 561-7162
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David M Richmand, M.D.
- Title
- President
- Phone
- (908) 561-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1511 Park Ave
South Plainfield, NJ 07080-5516
Mailing address
1511 Park Ave
South Plainfield, NJ 07080-5516
Phone (908) 561-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0197712000 | Other | NJ | AMERIHEALTH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1881633790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805516",
"telephone_number": "908-561-9500",
"fax_number": "908-561-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805516",
"telephone_number": "908-561-9500",
"fax_number": "908-561-7162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE SURGICAL ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "RICHMAND",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-561-9500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0197712000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.