Martine Garcon

Key facts

NPI

1942593009

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

26NP06258700 (NJ)

Practice address

229 Conklin Ave
Hillside, NJ 07205-1423

Phone

(973) 868-4901

NPI assigned

May 24, 2011

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 24, 2011.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1942593009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CONKLIN AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051423",
            "telephone_number": "973-868-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CONKLIN AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051423",
            "telephone_number": "973-868-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCON",
        "first_name": "MARTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06258700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

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• Sheyla Fundora, DNP, FNP, BSN, RN.
• Adrienne Garro, PH.D.
• Stephanie Gerda
• God Is Able Rehabilitation LLC
• Nancy Gonzales
• Yael Gottesman, MS, CCC-SLP

All providers in Hillside, NJ · Licensed Practical Nurse in New Jersey