Park Ridge Geriatrics PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA69195 Issued in NJ

Legal business name

PARK RIDGE GERIATRICS PC

Practice address

235 Homestead PL
Park Ridge, NJ 07656-2438

Phone

(973) 578-9739

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Syed Hussaini, MD

Title

Owner

Phone

(973) 578-9739

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1386690782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076560557",
            "telephone_number": "201-512-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HOMESTEAD PL",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076562438",
            "telephone_number": "973-578-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE GERIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "HUSSAINI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-578-9739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA69195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8346101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Wold Olsen Jr., D.M.D.
• Optimal Health Family Chiropractic, LLC
• Park Ridge Al Amop, LLC
• Park Ridge Board of Education
• Park Ridge Chiropractic
• Park Ridge Healthcare SNF, LLC
• Park Ridge SNF Amop, LLC
• Mrunal H Parmar, DDS
• Pascack Mental Health Center
• Kim Marie Pauline, MS

• Specialist in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.