GARDEN STATE GERIATRICS LLC – NPI #1861719718
Clinic/Center

GARDEN STATE GERIATRICS LLC is an AHC clinic located in TEANECK, NJ. NPPES has assigned the NPI number 1861719718 to GARDEN STATE GERIATRICS LLC on April 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 16 years ago on May 27, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARDEN STATE GERIATRICS LLC below.

NPI Profile for
GARDEN STATE GERIATRICS LLC

NPI Number
1861719718
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GARDEN STATE GERIATRICS LLC
Primary location
773 TEANECK ROAD
TEANECK, NJ 07666
Phone: (201) 530-5390 Fax: (201) 530-5391
Mailing address
53 HEATHER HILL RD
CRESSKILL, NJ 07626
Phone: (732) 491-1093 Fax: (201) 530-5391
Organization Subpart
No
Authorized Official
KAVITHA SUBRAMANIAN
PHYSICIAN
Phone: (732) 491-1093
Updated
Identifiers

Identifiers for GARDEN STATE GERIATRICS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0153982
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 NJ 25MA07857500

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.