Advanced Age Management PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVANCED AGE MANAGEMENT PLLC

Practice address

1787 Grand Ridge CT NE
Suite 202
Grand Rapids, MI 49525-7042

Phone

(616) 808-2695

NPI assigned

Dec 28, 2010

Last updated

Apr 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Piyush Bhatnagar, MDNPI 1811961907

Title

Owner

Phone

(616) 634-6240

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Piyush Bhatnagar, M.D.

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1811961907
  Authorized official Same address or phone
• Peter Sonjoy Macfield, M.D.

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1831311778
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1689978041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 FLOWERS CROSSING DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259521",
            "telephone_number": "616-634-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 GRAND RIDGE CT NE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257042",
            "telephone_number": "616-808-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AGE MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-634-6240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adolescent and Family Behavioral Health Services
• Adrian J Denboer (DBC Natural Holistic Health Center, PLLC)
• Jessie Marie Adrianson
• Miriam Adrianson, MD
• Isabelle Adsmond
• Advanced Audiology Hearing Services, Inc
• Advanced Counseling and Therapy Services
• Advanced Eye Care of Grand Rapids, PLC
• Advanced Oral Surgery, PLLC (Advanced Oral Surgery and Dental Implant Studio)
• Advanced Plastic Surgery, PC

• Primary Care Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.