Organization Active NPI

Shore Geriatrics, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sea Girt, NJ
National Provider Identifier
1427276450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA08154900 Issued in NJ
Legal business name
SHORE GERIATRICS, LLC
Practice address
700 Route 71
Sea Girt, NJ 08750
Phone
(732) 974-3146
Fax
(732) 974-1985
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Elena M Regalman, MDNPI 1962581942
Title
Owner
Phone
(732) 245-1563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA08154900 NJ Primary

Addresses

Primary practice location

700 Route 71
Sea Girt, NJ 08750

Mailing address

401 W Sylvania Ave
Apt 6-B
Neptune, NJ 07753-5979
Phone (732) 245-1563

National Provider Directory

National Provider Directory

Locations

475 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-6600

1706 Corlies Ave
Ste 1
Neptune, NJ 07753
Phone (732) 774-1170

700 Highway 71
Sea Girt, NJ 08750
Phone (732) 449-4479

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427276450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W SYLVANIA AVE",
            "address_2": "APT 6-B",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535979",
            "telephone_number": "732-245-1563",
            "fax_number": "732-974-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ROUTE 71",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-974-3146",
            "fax_number": "732-974-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE GERIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REGALMAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-245-1563",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08154900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.