CARE STATION MEDICAL GROUP, PA
NPI 1184944902
General Practice in Secaucus, NJ

Q: What is Care Station Medical Group, PA's NPI number?

The NPI number for Care Station Medical Group, PA is 1184944902. It was assigned to this organization in the NPPES registry on June 3, 2010. The provider was formerly known as Care Station Medical Group.

Q: What is Care Station Medical Group, PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 03, 2010CLIA 31D0965682 · Waiver

210 MEADOWLANDS PKWY, SECAUCUS, NJ 07094(201) 348-3636(201) 583-0713 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Care Station Medical Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARE STATION MEDICAL GROUP, PA (NPI 1184944902), doing business as Care Station Medical Group, is a healthcare organization registered as a general practice in Secaucus, New Jersey and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Miranda J Agosto, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1184944902

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCARE STATION MEDICAL GROUP, PA

Location Address210 MEADOWLANDS PKWYSecaucus, NJ 07094-2311

Mailing AddressPo Box 352Linden, NJ 07036-0352 · (908) 925-7519 · Fax (908) 925-2842

Phone(201) 348-3636

Fax(201) 583-0713

Organization SubpartNo

Authorized OfficialMiranda J AgostoBilling Manager · (908) 925-7519

Enumeration DateJune 3, 2010

Last NPPES UpdateMarch 30, 2017

✔ NPI 1184944902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

210 MEADOWLANDS PKWY, Secaucus, NJ 07094

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Other Names 1

Former Legal Business NameCare Station Medical Group

Other Identifiers 2

Medicare NSC6369960002

Medicare PIN007845NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0965682

Care Station Medical Group · Secaucus, NJ

Active · expires Sep 27, 2027

CLIA Number31D0965682

Laboratory TypeIndependent

Certificate Effective DateSeptember 28, 2025

Certificate Expiration DateSeptember 27, 2027

Laboratory DirectorRichard Bezozo

Laboratory Phone(201) 348-3636

Laboratory LocationCare Station Medical Group210 Meadowlands Pkwy, Secaucus, NJ 07094

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA

General Practice