Organization Active NPI

Geriatric Services, Inc.

  • Assisted Living Facility
  • Teaneck, NJ
National Provider Identifier
1386700821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
030225 Issued in NJ
Legal business name
GERIATRIC SERVICES, INC.
Doing business as
Bright Side Manor
Practice address
300 Teaneck Rd
Teaneck, NJ 07666-4043
Phone
(201) 692-1000
Fax
(201) 692-0293
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elizabeth Ann Davis, LCSW,CALA
Title
Administrator
Phone
(201) 692-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 030225 NJ Primary

Addresses

Primary practice location

300 Teaneck Rd
Teaneck, NJ 07666-4043

Mailing address

300 Teaneck Rd
Teaneck, NJ 07666-4043
Phone (201) 692-1000

Other identifiers 1

IdentifierTypeStateIssuer
0000922MedicaidNJ

Other names 1

  • Bright Side Manor Doing business as

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
31D2201361Bright Side Manor300 Teaneck Road, Teaneck, NJ 07666Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386700821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664043",
            "telephone_number": "201-692-1000",
            "fax_number": "201-692-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664043",
            "telephone_number": "201-692-1000",
            "fax_number": "201-692-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-692-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW,CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "030225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000922",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Side Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • 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.
  • 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.