GARDEN STATE PRIMARY CARE, LLC (NPI# 1568986529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568986529 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE PRIMARY CARE, LLC |
| Practice Address |
2 Hospital Plz Ste 470 Old Bridge NJ 08857-3012 |
| Mailing Address |
140 Whitehead Ave Sayreville NJ 08872-1187 |
| Practice Telephone | 7326384688 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | DR. HAWWA S. FRAZIER (PHYSICIAN OWNER) |
| Authorized Official Telephone | 7326384688 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB09310600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
2 HOSPITAL PLZ STE 470 |
| City | OLD BRIDGE |
| State | NJ |
| Zip Code | 08857-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
| 1962910703 | John Hubert Jaeger | Chiropractor | 3883 Route 516, Old Bridge, NJ 08857 | 2018-01-15 |
| 1770097347 | Cindy Zhang | Nurse Practitioner | 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 | 2017-11-18 |
| 1639688542 | Courtney M Demaio | Social Worker | 20 Bertrand St., Old Bridge, NJ 08857 | 2017-09-22 |
| 1861921983 | Erica Marriaga | Social Worker | 9c Spruce Lane, Apartment C, Old Bridge, NJ 08857 | 2017-06-12 |
| 1730615493 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Matchaponix Rd, Old Bridge, NJ 08857 | 2017-05-02 |
| 1033581715 | Akriti Sharma | Physical Therapist | 14 Woodward Drive, Old Bridge, NJ 08857 | 2015-10-21 |
| 1376925990 | Central Old Bridge Emergency Medical Service Inc | Ambulance | 133 Ticetown Road, Old Bridge, NJ 08857 | 2015-06-19 |
| 1609283779 | Stephanie Detone | Audiologist | 3663 Route 9 North, Old Bridge, NJ 08857 | 2014-07-21 |
| 1326461963 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2825 Hwy Route 18, Old Bridge, NJ 08857 | 2014-02-03 |
| Find all providers in zip 08857 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380262 | Vlada E Finch | Family Medicine | 2624 Hwy 516, Old Bridge, NJ 08857-2306 | 2011-05-04 |
| 1245426311 | Center for Family Medicine,pa | Family Medicine | 69 County Rd 516, Old Bridge, NJ 08857-1416 | 2007-09-21 |
| 1922125038 | Kalpeshkumar P. Patel | Family Medicine | 2 Hospital Plz Ste 320, Old Bridge, NJ 08857 | 2007-03-23 |
| 1962565861 | Palma E. Formica | Family Medicine | 69 County Road 516, Old Bridge, NJ 08857-1416 | 2006-12-19 |
| 1841234028 | Paula Krauser | Family Medicine | 2433 County Highway 516, Suite 3b, Old Bridge, NJ 08857 | 2006-06-16 |
| 1528033669 | Beth A Balinski | Family Medicine | 2107 Highway 516, Old Bridge, NJ 08857-1746 | 2006-02-22 |
| 1891116042 | Andrew T. Madaj | Family Medicine | 2107 Highway 516, Old Bridge, NJ 08857-1746 | 2013-12-13 |
| 1891133617 | Mbs Trinity Health, LLC | Family Medicine | 2 Hospital Plz, Suite 470, Old Bridge, NJ 08857-3012 | 2013-06-14 |
| 1881889277 | Hawwa Sharif Frazier | Family Medicine | 2 Hospital Plz, Suite 470, Old Bridge, NJ 08857-3012 | 2007-09-10 |
| 1801937123 | Jennifer Turkish | Family Medicine | 26 Throckmorton Ln, Old Bridge, NJ 08857-2520 | 2007-02-09 |
| Find all providers in OLD BRIDGE | ||||
| City | OLD BRIDGE |
| Zip Code | 08857 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.