Organization Active NPI

Center for Geriatric Care and Wellness

  • Geriatric Medicine (Family Medicine) Physician
  • Lakewood, NJ
National Provider Identifier
1700623246
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
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

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dr. Eric Glantz, DONPI 1821385568
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)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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

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.

Verify at the official NPI Registry.