GARDEN STATE I D LLC (NPI# 1619403862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619403862 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE I D LLC |
| Practice Address |
36 Huntington Rd Edison NJ 08820-3108 |
| Mailing Address |
36 Huntington Road Ed NJ 08820 |
| Practice Telephone | 6466605696 |
| Mailing Telephone | 6466605696 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | ARUNA SREE (M.D.) |
| Authorized Official Telephone | 9082499512 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 25MA08871700 | NJ | Other Service Providers |
| Street Address |
36 HUNTINGTON RD |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831632389 | Garden State Infectious Diseases Consultants PC | Specialist | 36 Huntington Rd, Edison, NJ 08820-3108 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245706688 | Aniyah R Mintz | Prevention Professional | 2201 Harry and Judy Dr, Morris Plains, NJ 07950-1373 | 2018-10-23 |
| 1104352772 | Zaiany Caraballo | Prevention Professional | 156 Jasper St, Paterson, NJ 07522-1916 | 2017-05-02 |
| 1578098547 | Rebecca M Patten | Prevention Professional | 55 Eleanor Dr, Kendall Park, NJ 08824-1815 | 2017-04-26 |
| 1083148878 | Tammy Doyle | Prevention Professional | 840 Wayside Ln, Haddonfield, NJ 08033-1048 | 2017-04-18 |
| 1316488844 | Dorrell Morrison | Prevention Professional | 3100 Federal St, Camden, NJ 08105-2327 | 2017-03-16 |
| 1235670720 | Candy Conclusions Inc | Prevention Professional | 220 West Branch Avenue Apt 211, Pine Hill, NJ 08021 | 2017-03-16 |
| 1730628306 | Unicorn Therapeutic Horseback Riding | Prevention Professional | 171 Marshall Corner Woodsville Rd, Pennington, NJ 08534-3703 | 2017-02-16 |
| 1437697240 | Anokywaa Williams | Prevention Professional | 160 James St, Apt 12 Build 12, Toms River, NJ 08753-5544 | 2017-02-01 |
| 1477089365 | Clinical Wellness | Prevention Professional | 246 Clifton Ave, Suite 24, Clifton, NJ 07011-1900 | 2017-05-11 |
| 1467993071 | Center for Integrative Health and Therapies | Prevention Professional | 513 W Mount Pleasant Ave, Suite 322, Livingston, NJ 07039-1710 | 2017-03-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GARDEN STATE I D LLC.
| 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.