Gars Diamond Foundation

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

GARS DIAMOND FOUNDATION

Practice address

1172 Tristram Cir
Mantua, NJ 08051-2205

Phone

(856) 822-0453

Fax

(856) 539-5820

NPI assigned

Mar 25, 2021

Organization subpart

No

Name

Allison G Allen Fundenberg, MEDICAL CONSULTANT

Title

President

Phone

(856) 822-0453

• GENUINE ADVOCATE RESOURCES Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2021.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1902483076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 TRISTRAM CIR",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080512205",
            "telephone_number": "856-822-0453",
            "fax_number": "856-539-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 TRISTRAM CIR",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080512205",
            "telephone_number": "856-822-0453",
            "fax_number": "856-539-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARS DIAMOND FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN FUNDENBERG",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-822-0453",
        "authorized_official_credential": "MEDICAL CONSULTANT"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENUINE ADVOCATE RESOURCES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rose Fedechko, LPC/COTA
• Jennifer V Fratini, RD
• Anthony J Fryckberg, RPH
• Susan D Fuchs I, IBCLC
• Nada Ahmed Galad
• Gars Switch Out Program
• Genuine Advocate Resources
• Dana Marie Gorman, VMD
• Wade Garrett Greenwald, LPC
• Rachel Hanstein

• All providers in Mantua, NJ
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.