Garden State I D LLC
NPI 1619403862 · Prevention Professional · Edison, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Garden State I D LLC is a Prevention Professional organization in Edison, NJ (NPI 1619403862).
Provider details
- NPI number
- 1619403862
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Aruna Sree, M.D.(908) 249-9512
- License
- 25MA08871700 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-10
- Last updated
- 2017-05-10
Frequently asked questions
- What is Garden State I D LLC's NPI number?
- Garden State I D LLC's National Provider Identifier (NPI) is 1619403862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Garden State I D LLC?
- Garden State I D LLC is classified in the NPPES registry as Prevention Professional (Other Service Providers).
- Where is Garden State I D LLC located?
- Garden State I D LLC's practice location on file with NPPES is 36 Huntington Rd, Edison, NJ 08820-3108.
- What is Garden State I D LLC's phone number?
- The practice phone number listed in the NPPES registry for Garden State I D LLC is (646) 660-5696.
- Does Garden State I D LLC accept Medicare?
- Garden State I D LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Garden State I D LLC?
- The authorized official listed on Garden State I D LLC's NPPES record is Aruna Sree, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Garden State I D LLC's NPI active?
- Yes — Garden State I D LLC's NPI (1619403862) is active in the NPPES registry as of the last update on 2017-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.