Geriatric Providers LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GERIATRIC PROVIDERS LLC

Practice address

3838 Northlake Blvd
Palm Beach Gardens, FL 33403-1535

Phone

(561) 557-4728

Fax

(855) 344-0366

NPI assigned

Nov 11, 2013

Last updated

Nov 11, 2013By 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

Dinakar Kotiyan, NP

Title

Administrator

Phone

(561) 557-4728

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1801225875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031535",
            "telephone_number": "561-557-4728",
            "fax_number": "855-344-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031535",
            "telephone_number": "561-557-4728",
            "fax_number": "855-344-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "KOTIYAN",
        "authorized_official_first_name": "DINAKAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-557-4728",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "L13000153711",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George L Schmidt OD PA
• Antonia George, LMFT, PHD
• Manju Elizabeth George, M.D.
• Sabu George, MD
• Rebecca Gerety, APRN (AGACNP-BC)
• Robert Cunningham Gerring, M.D.
• Erica Ghaster, R.N.
• Joul Ghazal
• Joseph Anthony Giaimo, DO
• Olga Gibbons, M.D.

• Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.