Geriactive, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GERIACTIVE, LLC

Practice address

215 Valley View Dr
Franklin Lakes, NJ 07417-1222

Phone

(201) 644-8096

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Richard Mendolia

Title

Owner

Phone

(201) 644-8096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1538580907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 VALLEY VIEW DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171222",
            "telephone_number": "201-644-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 VALLEY VIEW DR",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171222",
            "telephone_number": "201-644-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIACTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "MENDOLIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-644-8096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Galasso, MA, LPC
• Jacqueline Gallo
• Cherrilyn U. Garcia, PT
• Michele Christine Gatto, MD
• Dana Jill Genter, RPA-C
• Margaret Ann Goldberg, CCC-SLP
• Golden Years Day Care, Inc
• Golz Chiropractic Center
• Michael C Golz, DC
• Michael W Golz, D.C.

• Physical Therapist in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.