Healthcare Provider Details

I. General information

NPI: 1386557551
Provider Name (Legal Business Name): URBAN GARDENS NJ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

482 MCBRIDE AVE
PATERSON NJ
07501-3213
US

IV. Provider business mailing address

482 MCBRIDE AVE
PATERSON NJ
07501-3213
US

V. Phone/Fax

Practice location:
  • Phone: 973-413-4659
  • Fax:
Mailing address:
  • Phone: 973-413-4659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. CARLOS BRUNO
Title or Position: CEO
Credential:
Phone: 973-413-4659