Healthcare Provider Details

I. General information

NPI: 1972883734
Provider Name (Legal Business Name): ST GEORGE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 02/01/2026
Certification Date: 02/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 W SAINT GEORGES AVE
LINDEN NJ
07036-5638
US

IV. Provider business mailing address

15 GARDENIA CT
SAYREVILLE NJ
08872-2122
US

V. Phone/Fax

Practice location:
  • Phone: 908-925-4567
  • Fax: 908-925-8090
Mailing address:
  • Phone: 908-925-4567
  • Fax: 908-925-4567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00714300
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VINEET PARIKH
Title or Position: CEO
Credential: PHARMD
Phone: 908-925-4567