Organization Active NPI

Geriatric Medical Center LLC

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1366644734
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA69572 Issued in NJ
Legal business name
GERIATRIC MEDICAL CENTER LLC
Practice address
9 Mule Rd
Suite E8
Toms River, NJ 08755-5043
Phone
(732) 341-6070
Fax
(732) 341-6077
NPI assigned
Jun 5, 2007
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Sanjiv K Sharma, M.D.NPI 1285607739
Title
Sole Owner
Phone
(732) 341-6070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA69572 NJ Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA69572 NJ

Addresses

Primary practice location

9 Mule Rd
Suite E8
Toms River, NJ 08755-5043

Mailing address

9 Mule Rd
Suite E8
Toms River, NJ 08755-5043
Phone (732) 341-6070

Other identifiers 1

IdentifierTypeStateIssuer
111281OtherNJMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000140 NJ Part B Supplier - Clinic/Group Practice 5597864207 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2088312Geriatric Medical Center, LLC9 Mule Road, Suite E8 & E9, Toms River, NJ 08755Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Elite Medical Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

9 Mule Rd
Ste 15
Toms River, NJ 08755

9 Mule Rd
Ste E8
Toms River, NJ 08755
Phone (732) 341-6070

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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1366644734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MULE RD",
            "address_2": "SUITE E8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555043",
            "telephone_number": "732-341-6070",
            "fax_number": "732-341-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MULE RD",
            "address_2": "SUITE E8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555043",
            "telephone_number": "732-341-6070",
            "fax_number": "732-341-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "732-341-6070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA69572",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA69572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "111281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.