Active NPIOrganization

Garden State Primary Care, LLC

Family Medicine in Old Bridge, New Jersey

NPI Number1568986529
Practice location
2 Hospital Plz Ste 470, Old Bridge, NJ 08857-3012
Fax
—
Last updated
August 1, 2017

Garden State Primary Care, LLC is a healthcare organization based in Old Bridge, NJ. Garden State Primary Care, LLC practices in Old Bridge, NJ. The NPI Number for Garden State Primary Care, LLC is 1568986529 and holds a License No. 25MB09310600 (NJ). The current practice location address for Garden State Primary Care, LLC is 2 Hospital Plz Ste 470, Old Bridge, NJ 08857-3012 and can be reached out via phone at 732-638-4688.

Provider Profile Details

NPI Number
1568986529
Provider Name
Garden State Primary Care, LLC
Provider Entity Type
Organization
Address
2 Hospital Plz Ste 470, Old Bridge, NJ 08857-3012
Phone Number
732-638-4688
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Hawwa S. Frazier, DO · Physician Owner · 732-638-4688
Provider Enumeration Date
August 1, 2017
Last Update Date
August 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Hospital Plz Ste 470
Old Bridge, NJ 08857-3012
Zip
08857-3012
Phone Number
732-638-4688
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
140 Whitehead Ave
Sayreville, NJ 08872-1187
City
Sayreville
State
NJ
Zip
08872-1187

License Information

License Number
25MB09310600
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Garden State Primary Care, LLC?

The NPI number of Garden State Primary Care, LLC is 1568986529. It was assigned on August 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Garden State Primary Care, LLC?

Garden State Primary Care, LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB09310600.

Where does Garden State Primary Care, LLC practice?

The practice location is 2 Hospital Plz Ste 470, Old Bridge, NJ 08857-3012. The office can be reached at 732-638-4688 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568986529 directly on the NPPES registry website.

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