GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC – NPI #1306121504
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC is a provider located in HACKENSACK, NJ. NPPES has assigned the NPI number 1306121504 to GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC on October 19, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 13 years ago on Nov 13, 2013. 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 GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC below.

NPI Profile for
GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC

NPI Number
1306121504
Enumeration Date

(more than 14 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
GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC
Primary location
810 MAIN ST
HACKENSACK, NJ 07601-4847
Phone: (201) 663-7375 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEFANOS PANTAGIS
OWNER
Phone: (201) 663-7375
Updated
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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

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.