Healthcare Provider Details

I. General information

NPI: 1114989829
Provider Name (Legal Business Name): JASON P GARCIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 NORTHFIELD AVE SUITE 200
WEST ORANGE NJ
07052-1174
US

IV. Provider business mailing address

741 NORTHFIELD AVE SUITE 200
WEST ORANGE NJ
07052-1174
US

V. Phone/Fax

Practice location:
  • Phone: 973-736-9980
  • Fax: 973-736-9981
Mailing address:
  • Phone: 973-736-9980
  • Fax: 973-736-9981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA94653
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number25MA07763900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25MA07763900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: