NPIMap

Organization Active NPI

State of New Jersey

Doing business as New Jersey Veterans Memorial Home Paramus

  • Geriatric Medicine (Internal Medicine) Physician
  • Paramus, NJ
National Provider Identifier
1104005057
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
STATE OF NEW JERSEY
Doing business as
New Jersey Veterans Memorial Home Paramus
Practice address
1 Veterans Way
Paramus, NJ 07652-4100
Phone
(201) 634-8509
Fax
(201) 967-8658
NPI assigned
Oct 29, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Mr. Gerard Feenan
Title
Cfo
Phone
(201) 634-8509

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X

Addresses

Primary practice location

1 Veterans Way
Paramus, NJ 07652-4100

Mailing address

1 Veterans Way
Paramus, NJ 07652-4100
Phone (201) 634-8509

Other names 1

  • New Jersey Veterans Memorial Home Paramus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hunterdon Development C22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1104005057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERANS WAY",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524100",
            "telephone_number": "201-634-8509",
            "fax_number": "201-967-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS WAY",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524100",
            "telephone_number": "201-634-8509",
            "fax_number": "201-967-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "FEENAN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-634-8509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Veterans Memorial Home Paramus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.