NPIMap

Organization Active NPI

Garden State Medical Practice, PC

  • Reproductive Endocrinology Physician
  • Princeton, NJ
National Provider Identifier
1992338701
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
GARDEN STATE MEDICAL PRACTICE, PC
Practice address
16 Chambers St
Princeton, NJ 08542-3708
Phone
(855) 563-2639
NPI assigned
Feb 20, 2020
Organization subpart
Yes
Parent organization
KBI SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Shilpa Patel
Title
Chief Business & Legal Officer
Phone
(917) 816-5370

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

16 Chambers St
Princeton, NJ 08542-3708

Mailing address

120 5TH Ave FL 5
New York, NY 10011-5638

Other names 1

  • Kindbody of NJ Medical Practice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@kindbody.com Direct Empire Medical Practice, PC

National Provider Directory

National Provider Directory

Locations

102 5th Ave
New York, NY 10011
Phone (347) 778-2542

Practitioners & affiliated clinicians

Practitioners 8

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": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1992338701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 5TH AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHAMBERS ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085423708",
            "telephone_number": "855-563-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE MEDICAL PRACTICE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KBI SERVICES, INC",
        "enumeration_date": "2020-02-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "CHIEF BUSINESS & LEGAL OFFICER",
        "authorized_official_telephone_number": "917-816-5370"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@kindbody.com",
            "affiliation": "Y",
            "endpointDescription": "email to clinical team",
            "affiliationName": "Empire Medical Practice, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 5th Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100116902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kindbody of NJ Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.