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GARDEN STATE I D LLC
NPI 1619403862
Prevention Professional in Edison, NJ

Active since May 10, 2017
36 HUNTINGTON RD, EDISON, NJ 08820(646) 660-5696 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Garden State I D Llc NPPES

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

GARDEN STATE I D LLC (NPI 1619403862) is a healthcare organization registered as a prevention professional in Edison, New Jersey and active in the NPI registry since May 2017. The organization lists Aruna Sree, M.d., as its authorized official.

NPPES Registry Identity

NPI1619403862
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameGARDEN STATE I D LLC
Location Address36 HUNTINGTON RDEdison, NJ 08820-3108
Mailing Address36 Huntington RoadEd, NJ 08820 · (646) 660-5696
Phone(646) 660-5696
Organization SubpartNo
Authorized OfficialAruna SreeM.d. · (908) 249-9512
Enumeration DateMay 10, 2017
✔ NPI 1619403862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in NJ · 25MA08871700
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
36 HUNTINGTON RD, Edison, NJ 08820
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garden State I D Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Garden State I D LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Aruna Sree, M.D.
Infectious Disease
NPI 1780881813
98 JAMES ST STE 208
Edison, NJ 08820
(732) 514-9624
✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garden State I D LLC's NPI number?

The NPI number for Garden State I D LLC is 1619403862. It was assigned to this organization in the NPPES registry on May 10, 2017.

Where is Garden State I D LLC located?

Garden State I D LLC is located at 36 Huntington Rd, Edison, NJ 08820. The listed phone number is (646) 660-5696.

What is Garden State I D LLC's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Is Garden State I D LLC enrolled in Medicare?

Yes. Garden State I D LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Garden State I D LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Garden State I D LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Garden State I D LLC was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.