Seniormed Clinic for Aging PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MA 69300 Issued in NJ

Legal business name

SENIORMED CLINIC FOR AGING PA

Practice address

7 Januson CT
West Orange, NJ 07052-3657

Phone

(973) 736-8212

Fax

(973) 736-0645

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rowen Gumapas Diano, MD

Title

President

Phone

(973) 736-8212

Specialties & licenses 1

Addresses

Other names 1

• na Doing business as

Practitioners 1

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

• Evelyn Villarde Candalera, NP-C

  • Nurse Practitioner
  • Montclair, NJ
  • NPI 1861024796
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205957180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JANUSON CT",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523657",
            "telephone_number": "973-736-8212",
            "fax_number": "973-736-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 JANUSON CT",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523657",
            "telephone_number": "973-736-8212",
            "fax_number": "973-736-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORMED CLINIC FOR AGING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIANO",
        "authorized_official_first_name": "ROWEN",
        "authorized_official_middle_name": "GUMAPAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-736-8212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA 69300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Segovia, CD
• Michael K Seidenstein, M.D.
• Mia Capozella Seiger, DMD
• Danielle Seltzer, MD
• Gerda Senatus
• Joanna Sesti, M.D.
• Avnee Shah, M.D.
• Deepali A Shah, D.O, MPH
• Devina Shah, DMD
• Nita K Shah, M.D.

• Geriatric Medicine (Internal Medicine) Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.