CARE STATION MEDICAL GROUP, PA (NPI# 1386963429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386963429 |
| Entity Type | Organization |
| Organization Name | CARE STATION MEDICAL GROUP, PA |
| Other Organization Name | CARE STATION MEDICAL GROUP |
| Practice Address |
90 Us Highway 22 Springfield NJ 07081-3110 |
| Mailing Address |
Po Box 352 Linden NJ 07036-0352 |
| Practice Telephone | 9734672273 |
| Practice Fax Number | 9734675385 |
| Mailing Telephone | 9089257519 |
| Mailing Fax Number | 9089252842 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | MIRANDA J AGOSTO (BILLING MANAGER) |
| Authorized Official Telephone | 9089257519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Care Station Medical Group | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184944902 | Care Station Medical Group, Pa | General Practice | 210 Meadowlands Pkwy, Secaucus, NJ 07094-2311 | 2010-06-03 |
| 1194045914 | Care Station Medical Group, Pa | General Practice | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2010-06-03 |
| 1447445234 | Care Station Medical Group, Pa | Radiology | 328 W Saint Georges Ave, Linden, NJ 07036-5638 | 2007-09-14 |
| Street Address |
90 US HIGHWAY 22 |
| City | SPRINGFIELD |
| State | NJ |
| Zip Code | 07081-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679135925 | Kristen Pluchino | Physician Assistant | 90 Us Highway 22, Springfield, NJ 07081-3110 | 2019-07-07 |
| 1568878734 | Alyssa Marie Sabatino | Physician Assistant | 90 Us Highway 22, Springfield, NJ 07081-3110 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1215472980 | Kara S Jablonka, LLC | Social Worker | 28 Millburn Avenue (suite #7), Springfield, NJ 07081 | 2017-01-04 |
| 1467813188 | Therapyworks LLC | Health Maintenance Organization | 74 Madison Terrace, Springfield, NJ 07081 | 2016-03-08 |
| 1942677893 | Jody Fenelon | Pharmacist | 50 Lawrence Road, Springfield, NJ 07081 | 2015-08-26 |
| 1013336601 | Exceptional Eye Care Group of Springfield L.L.C. | Optometrist | 55-d Route 22 East, Springfield, NJ 07081 | 2014-04-10 |
| 1790116424 | Kara Simon Jablonka | Social Worker | 28 Millburn Ave (suite 7), Springfield, NJ 07081 | 2013-12-05 |
| Find all providers in zip 07081 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609218510 | Ojv Inc. | General Practice | 4936 Laverna Rd, Springfield, IL 62707-9797 | 2013-07-19 |
| 1861742223 | Victoria J. Dow | General Practice | 948 Clocktower Drive, Springfield, IL 62704 | 2012-09-13 |
| 1164758892 | John Thomas Kelly | General Practice | 2105 Interlacken Dr, Springfield, IL 62704 | 2009-10-31 |
| 1972747574 | Bradley Bradshaw | General Practice | 1904 S Shady Hill Ln, Springfield, MO 65809-2601 | 2009-04-27 |
| 1265685515 | International Medical Center, Inc | General Practice | 5410 Port Royal Rd, Suite 100, Springfield, VA 22151-2314 | 2008-10-30 |
| 1518121565 | Robert Charles Woods | General Practice | 1522 S Cedar Ridge St, Springfield, MO 65809-2356 | 2008-07-17 |
| 1083817639 | Saul Wider | General Practice | 359 Spring Valley Rd, Springfield, PA 19064 | 2007-06-08 |
| 1669681938 | Shwee-tian Chou | General Practice | 517 Boston Rd, Springfield, MA 01109-1230 | 2007-05-22 |
| 1326116229 | Abdulkareem I Kraidy | General Practice | 6801 Backlick Rd, Springfield, VA 22150-3071 | 2006-12-01 |
| 1821168683 | Doctors Hearing Center Pllc Xiig | General Practice | 1306 E Sunshine St, Springfield, MO 65804 | 2006-11-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 07081 |
Please comment or provide details below to improve the information on CARE STATION MEDICAL GROUP, PA.
| 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.