Organization Active NPI

Geriatrics and Internal Medicine, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tinton Falls, NJ
National Provider Identifier
1477888600
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA08619300 Issued in NJ
Legal business name
GERIATRICS AND INTERNAL MEDICINE, LLC
Practice address
43 N Gilbert St Ste 5
Tinton Falls, NJ 07701-4914
Phone
(732) 988-3800
Fax
(732) 988-3801
NPI assigned
Oct 6, 2009
Last updated
May 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Dr. Ana Vladu, MDNPI 1851524722
Title
Partener
Phone
(631) 903-3582

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA08619300 NJ Primary

Addresses

Primary practice location

43 N Gilbert St Ste 5
Tinton Falls, NJ 07701-4914

Mailing address

148 Riveredge Rd
Tinton Falls, NJ 07724-2751
Phone (732) 988-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091218000018 NJ Part B Supplier - Clinic/Group Practice 3375683618 Receives reassigned benefits from 1 practitioner
Practice locations: Tinton Falls, 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
31D2016372Geriatrics and Internal Medicine43 North Gilbert Street, Tinton Falls, NJ 07701Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

64 7th Ave
Atlantic Hlds, NJ 07716
Phone (732) 291-0692

43 N Gilbert St
Ste 1
Tinton Falls, NJ 07701
Phone (732) 784-7168

43 N Gilbert St
Ste 5
Tinton Falls, NJ 07701
Phone (732) 363-6166

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": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1477888600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 RIVEREDGE RD",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242751",
            "telephone_number": "732-988-3800",
            "fax_number": "732-988-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 N GILBERT ST STE 5",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014914",
            "telephone_number": "732-988-3800",
            "fax_number": "732-988-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRICS AND INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "VLADU",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PARTENER",
        "authorized_official_telephone_number": "631-903-3582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA08619300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.