GARDEN STATE MEDICAL ASSOC P A – NPI #1215960752
Neuromusculoskeletal Medicine & OMM

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Health Care Provider Taxonomy Code for Neuromusculoskeletal Medicine & OMM

GARDEN STATE MEDICAL ASSOC P A is a provider located in MARLTON, NJ. NPPES has assigned the NPI number 1215960752 to GARDEN STATE MEDICAL ASSOC P A on July 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARDEN STATE MEDICAL ASSOC P A below.

NPI Profile for
GARDEN STATE MEDICAL ASSOC P A

NPI Number
1215960752
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GARDEN STATE MEDICAL ASSOC P A
Primary location
100 BRICK RD
SUITE 209
MARLTON, NJ 08053-2146
Phone: (856) 983-2848 Fax: (856) 985-7645
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JESSE LOMONACO
VICE PRESIDENT
Phone: (856) 983-2848
Updated
Identifiers

Identifiers for GARDEN STATE MEDICAL ASSOC P A

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ2623307
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)		 NJ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.