NPIMap

Organization Active NPI

Gericare Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • Cherry Hill, NJ
National Provider Identifier
1669640470
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MB05722900 Issued in NJ
Legal business name
GERICARE ASSOCIATES
Practice address
1305 N Kings Hwy
Suite 1
Cherry Hill, NJ 08034-1919
Phone
(856) 429-7600
Fax
(856) 429-7130
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Debbie Acquarolo
Title
Administrative Director
Phone
(856) 429-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 25MB05722900 NJ Primary

Addresses

Primary practice location

1305 N Kings Hwy
Suite 1
Cherry Hill, NJ 08034-1919

Mailing address

1305 N. Kings Highway
Suite 1
Laurel Springs, NJ 08034
Phone (856) 429-7600

Other identifiers 1

IdentifierTypeStateIssuer
0150746MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1405 Chews Landing Rd
Ste 4
Laurel Springs, NJ 08021
Phone (856) 228-0098

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1669640470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N. KINGS HIGHWAY",
            "address_2": "SUITE 1",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "856-429-7600",
            "fax_number": "856-429-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N KINGS HWY",
            "address_2": "SUITE 1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-429-7600",
            "fax_number": "856-429-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERICARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "ACQUAROLO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "856-429-7600"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MB05722900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150746",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.