Organization Active NPI

Geriatric Treatment Resources LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Lawrence Township, NJ
National Provider Identifier
1154553063
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GERIATRIC TREATMENT RESOURCES LLC
Practice address
123 Franklin Corner Rd Ste 204
Lawrence Township, NJ 08648-2526
Phone
(609) 730-1888
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Dr. Priti S Gujar, MDNPI 1356382600
Title
President
Phone
(609) 744-5754

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 (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

123 Franklin Corner Rd Ste 204
Lawrence Township, NJ 08648-2526

Mailing address

12 Bailey Dr
Princeton, NJ 08540-7955
Phone (609) 744-5754

Other practice location 1

108 Straube Center Blvd
Suite I-3(2,3,5)
Pennington, NJ 08534-1448
Phone (609) 730-1888

Other identifiers 1

IdentifierTypeStateIssuer
8213101MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000660 NJ Part B Supplier - Clinic/Group Practice 2961541180 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrence Township, NJ; Princeton, NJ

National Provider Directory

National Provider Directory

Locations

123 Franklin Corner Rd
Lawrenceville, NJ 08648
Phone (609) 896-1400

123 Franklin Corner Rd
Ste 204
Lawrenceville, NJ 08648
Phone (609) 730-1888

23 Route 31 N
Ste 20B
Pennington, NJ 08534

108 Straube Center Blvd
Ste I3235
Pennington, NJ 08534
Phone (609) 730-1888

23 Route 31 N
Ste 22B
Pennington, NJ 08534
Phone (609) 730-1888

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1154553063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BAILEY DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407955",
            "telephone_number": "609-744-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD STE 204",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-730-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Straube Center Blvd",
            "address_2": "Suite I-3(2,3,5)",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085341448",
            "country_code": "US",
            "telephone_number": "609-730-1888",
            "fax_number": "609-730-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERIATRIC TREATMENT RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "GUJAR",
        "authorized_official_first_name": "PRITI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-744-5754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8213101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.