Organization Active NPI

Garden State Family Care Inc

  • Internal Medicine Physician
  • Scotch Plains, NJ
National Provider Identifier
1962155598
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GARDEN STATE FAMILY CARE INC
Practice address
1814 E 2ND St # 4
Scotch Plains, NJ 07076-1751
Phone
(908) 322-6611
Fax
(908) 322-8665
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pooja Mehta, MDNPI 1821481425
Title
Medical Director
Phone
(908) 322-6611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1814 E 2ND St # 4
Scotch Plains, NJ 07076-1751

Mailing address

1814 E 2ND St # 4
Scotch Plains, NJ 07076-1751
Phone (908) 322-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220222002521 NJ Part B Supplier - Clinic/Group Practice 1658765334 Receives reassigned benefits from 1 practitioner
Practice locations: Scotch Plains, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2269660Garden State Family Care and Medical Spa1814 East 2ND St Suite 4, Scotch Plains, NJ 07076Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

1814 E 2nd St
#4
Scotch Plains, NJ 07076
Phone (908) 322-6611

1814 E 2nd St
Ste 4
Scotch Plains, NJ 07076

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1962155598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 E 2ND ST # 4",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761751",
            "telephone_number": "908-322-6611",
            "fax_number": "908-322-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 E 2ND ST # 4",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761751",
            "telephone_number": "908-322-6611",
            "fax_number": "908-322-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-322-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.