Active NPI
Center for Geriatric Care and Wellness
- Geriatric Medicine (Family Medicine) Physician
- Lakewood, NJ
National Provider Identifier
1700623246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- CENTER FOR GERIATRIC CARE AND WELLNESS
- Practice address
- 860 Vermont Ave
Lakewood, NJ 08701-6145 - Phone
- (732) 703-6622
- Fax
- (732) 722-1024
- NPI assigned
- Jul 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Glantz, DO
- Title
- Incorporator
- Phone
- (732) 703-6622
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
860 Vermont Ave
Lakewood, NJ 08701-6145
Mailing address
860 Vermont Ave
Lakewood, NJ 08701-6145
Phone (845) 494-8474
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lakewood, NJ
- NPI 1821385568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1700623246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 VERMONT AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087016145",
"telephone_number": "845-494-8474",
"fax_number": "732-722-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 VERMONT AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087016145",
"telephone_number": "732-703-6622",
"fax_number": "732-722-1024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR GERIATRIC CARE AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A",
"authorized_official_last_name": "GLANTZ",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "INCORPORATOR",
"authorized_official_telephone_number": "732-703-6622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
- Esther Censor, OTR/L
- Shifra Censor, SLP
- Center for Advanced Foot & Ankle Care
- Center for Advanced Pain Management and Clinical Orthopaedics LLC
- Center for Dental Arts
- Center for Health Education and Dentistry
- Center for Special Procedures, LLC
- Center for Speech and Movement
- Center for Vein Restoration NJ LLC
- Central Care Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.