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

NPI Status: Active since June 03, 2010

Contact Information

210 MEADOWLANDS PKWY
SECAUCUS, NJ
ZIP 07094
Phone: (201) 348-3636
Fax: (201) 583-0713

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  • Organization
  • General Practice
  • CLIA Number: 31D0965682
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 09-27-2027

About CARE STATION MEDICAL GROUP, PA

This page provides the complete NPI Profile along with additional information for Care Station Medical Group, Pa, a primary care provider established in Secaucus, New Jersey operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1184944902 assigned on June 2010. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Care Station Medical Group, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Care Station Medical Group. The authorized official of this NPI record is Miranda J Agosto (Billing Manager)

NPI
1184944902
Provider Legal Name
CARE STATION MEDICAL GROUP, PA
Other Organization Name
CARE STATION MEDICAL GROUP
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
210 MEADOWLANDS PKWY SECAUCUS, NJ 07094
Location Phone
(201) 348-3636
Location Fax
(201) 583-0713
Mailing Address
PO BOX 352 LINDEN, NJ 07036
Mailing Phone
(908) 925-7519
Mailing Fax
(201) 583-0713
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2010
Last Update Date
03-30-2017
Code Navigator

A primary care provider (PCP) like Care Station Medical Group, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIRANDA J AGOSTO

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(908) 925-7519

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6369960002MEDICARE NSC (07) 
007845MEDICARE PIN (08)NJ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D0965682
Facility Type
Independent
Certificate Effective Date
September 28, 2025
Certificate Expiration Date
September 27, 2027
Laboratory Director
RICHARD BEZOZO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Care Station Medical Group, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184944902, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 8 + 4 + 8 + 9 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1184944902.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
210 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Anesthesiology
210 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Internal Medicine
210 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
General Practice
210 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Orthopaedic Surgery (Sports Medicine)
210 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Family Medicine
210 MEADOWLANDS PKWY
SECAUCUS, NJ 07094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184944902, enumerated as an "organization" on June 03, 2010.

The provider is located at 210 MEADOWLANDS PKWY SECAUCUS, NJ 07094 and the phone number is (201) 348-3636.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.