Organization Active NPI

Concierge Medical LLC

  • Family Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1821740622
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CONCIERGE MEDICAL LLC
Practice address
317 Brick Blvd Ste 110
Brick, NJ 08723-6031
Phone
(848) 333-0435
NPI assigned
Jan 23, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Aryay Gefen, APN
Title
Owner
Phone
(848) 333-0435

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

317 Brick Blvd Ste 110
Brick, NJ 08723-6031

Mailing address

317 Brick Blvd Ste 110
Brick, NJ 08723-6031
Phone (848) 333-0435

National Provider Directory

National Provider Directory

Locations

317 Brick Blvd
Ste 110
Brick, NJ 08723
Phone (732) 934-6463

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1821740622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BRICK BLVD STE 110",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236031",
            "telephone_number": "848-333-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BRICK BLVD STE 110",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236031",
            "telephone_number": "848-333-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "GEFEN",
        "authorized_official_first_name": "ARYAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-333-0435",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.