Jewish Older Adult Services of Atlantic County Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

JEWISH OLDER ADULT SERVICES OF ATLANTIC COUNTY INC

Practice address

1102 Atlantic Ave
Atlantic City, NJ 08401-4803

Phone

(609) 345-8409

Fax

(609) 345-7024

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Adrienne Epstein

Title

Executive Director

Phone

(609) 345-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1932261245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084014803",
            "telephone_number": "609-345-8409",
            "fax_number": "609-345-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084014803",
            "telephone_number": "609-345-8409",
            "fax_number": "609-345-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH OLDER ADULT SERVICES OF ATLANTIC COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-345-5555"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Jackson, PA-C
• Syed Jaleel, MD
• Niraj Jani, MD
• Kasey Leigh Jeansonne, NP-C
• Jewish Family Service of Atlantic & Cape May Counties
• Minyee Ji
• JJD LLC
• John Brooks Recovery Center
• John Brooks Recovery Center
• John Brooks Recovery Center

• Geriatric Medicine (Internal Medicine) Physician in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.