| Garden State Family Care Inc | |
|
1814 E 2nd St # 4 Scotch Plains NJ 07076-1751 | |
| (908) 322-6611 | |
| (908) 322-8665 |
| Full Name | Garden State Family Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1814 E 2nd St # 4, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Pooja Mehta (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9083226611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Family Care Inc 1814 E 2nd St # 4 Scotch Plains NJ 07076-1751 Ph: (908) 322-6611 | Garden State Family Care Inc 1814 E 2nd St # 4 Scotch Plains NJ 07076-1751 Ph: (908) 322-6611 |
| NPI Number | 1962155598 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 1658765334 |
|---|---|
| Medicare Enrollment ID | O20220222002521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962155598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pooja Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821481425 PECOS PAC ID: 0941598353 Enrollment ID: I20180118000921 |
| Provider Name | Carol Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265010607 PECOS PAC ID: 1850763228 Enrollment ID: I20230213000276 |
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