Gemstone Pediatrics

LBN: Gemstone Pediatrics
Gemstone Pediatrics is an health care organization with primary practice located at 485 Park Ave , Orange NJ 07050-1721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Gemstone Pediatrics can be contacted via phone (973) 672-2770, or through Carruth, Samuel Garnett via phone (973) 752-5272.

Contact Information

Primary practice address
485 Park Ave Orange NJ 07050-1721
Phone: (973) 672-2770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carruth, Samuel Garnett Doctor of Medicine (MD)
Phone: (973) 752-5272

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1285255539
LBN Legal business name Gemstone Pediatrics
DBA Doing business as
Authorized official Carruth, Samuel Garnett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2020
Last updated Nov 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285255539 NPPES
New Jersey Other 25MA07029000 MEDICAL LICENSE

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