Garden State Geriatrics Llc

LBN: Garden State Geriatrics Llc
Garden State Geriatrics Llc is an health care organization with primary practice located at 773 Teaneck Road , Teaneck NJ 07666. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Garden State Geriatrics Llc can be contacted via phone (201) 530-5390, or through Subramanian, Kavitha via phone (732) 491-1093.

Contact Information

Primary practice address
773 Teaneck Road Teaneck NJ 07666
Phone: (201) 530-5390
Fax: (201) 530-5391
Website:
Map and Directions
Authorized official contact:
Name: Subramanian, Kavitha Doctor of Medicine (MD)
Phone: (732) 491-1093

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 25MA07857500 New Jersey

Profile Details

NPI number 1861719718
LBN Legal business name Garden State Geriatrics Llc
DBA Doing business as
Authorized official Subramanian, Kavitha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2010
Last updated May 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861719718 NPPES
New Jersey MEDICAID 0153982

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