NPIMap

Organization Active NPI

Geriatrics Associates of New Jersey LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • East Windsor, NJ
National Provider Identifier
1073819512
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
GERIATRICS ASSOCIATES OF NEW JERSEY LLC
Practice address
300 Etra Drive
East Windsor, NJ 08520
Phone
(609) 426-6631
Fax
(609) 426-6630
NPI assigned
Feb 1, 2011
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ahmed MirzaNPI 1114094711
Title
Owner
Phone
(732) 266-3733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Primary

Addresses

Primary practice location

300 Etra Drive
East Windsor, NJ 08520

Mailing address

5 Sanibel CT
Monroe Township, NJ 08831-5816
Phone (732) 422-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111228000591 NJ Part B Supplier - Clinic/Group Practice 4385810183 Receives reassigned benefits from 13 practitioners
Practice locations: East Windsor, NJ

National Provider Directory

National Provider Directory

Locations

666 Plainsboro Rd
Ste 1318
Plainsboro, NJ 08536
Phone (609) 269-8291

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1073819512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SANIBEL CT",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315816",
            "telephone_number": "732-422-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ETRA DRIVE",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-426-6631",
            "fax_number": "609-426-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRICS ASSOCIATES OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-266-3733",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.