Active NPI
Golden Age Adult Services. CRP
- Skilled Nursing Facility
- East Brunswick, NJ
National Provider Identifier
1407172190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 476435-1
- Legal business name
- GOLDEN AGE ADULT SERVICES. CRP
- Practice address
- 21 Candle LN
East Brunswick, NJ 08816 - Phone
- (646) 306-7040
- NPI assigned
- Apr 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Galina Markovich, NP
- Title
- Nurse Practitioner
- Phone
- (646) 306-7040
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 476435-1 | NY | Primary |
Addresses
Primary practice location
21 Candle LN
East Brunswick, NJ 08816
Mailing address
21 Candle LN
East Brunswick, NJ 08816
Phone (646) 306-7040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F304085 | Other | NY | CERTIFICATE |
National Provider Directory
National Provider Directory- Tax ID family
- Golden Age Adult Services Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Nurse
- E Brunswick, NJ
- NPI 1932346830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- New Brunswick, NJ
- NPI 1841248598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1407172190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CANDLE LN",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "646-306-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CANDLE LN",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "646-306-7040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN AGE ADULT SERVICES. CRP",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "MARKOVICH",
"authorized_official_first_name": "GALINA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "646-306-7040",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "476435-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE",
"identifier": "F304085",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.