NPIMap

Organization Active NPI

Golden Age Adult Services Corporation

  • Registered Nurse
  • E Brunswick, NJ
National Provider Identifier
1932346830
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR08972100 Issued in NJ
Legal business name
GOLDEN AGE ADULT SERVICES CORPORATION
Practice address
21 Candle LN
E Brunswick, NJ 08816-3202
Phone
(516) 693-0700
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Miss Galina Markovich, MD
Title
Owner
Phone
(516) 693-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 26NR08972100 NJ Primary

Addresses

Primary practice location

21 Candle LN
E Brunswick, NJ 08816-3202

Mailing address

21 Candle LN
E Brunswick, NJ 08816-3202

National Provider Directory

National Provider Directory
Tax ID family
Golden Age Adult Services Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1932346830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CANDLE LN",
            "city": "E BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CANDLE LN",
            "city": "E BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163202",
            "telephone_number": "516-693-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE ADULT SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "MARKOVICH",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-693-0700",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR08972100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.