Atlantic Age Management

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MA 51879 Issued in NJ

Legal business name

ATLANTIC AGE MANAGEMENT

Practice address

34 Manchester Ave
Forked River, NJ 08731-1366

Phone

(609) 489-4648

NPI assigned

Dec 19, 2014

Last updated

Dec 19, 2014By 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

Dr. George Trim, MD

Title

President

Phone

(609) 489-4648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1932507183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MANCHESTER AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311366",
            "telephone_number": "609-489-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MANCHESTER AVE",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311366",
            "telephone_number": "609-489-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC AGE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "TRIM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-489-4648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "MA 51879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Altomare
• Zahara Amoyelle, LCSW
• Katelyn Elizabeth Antoniewicz, DPT
• Steven Ashmont, MSW, LCSW
• Association for the Multiple Impaired Blind, Inc. (Amib)
• Atlantic Behavior Analysis
• Raouf Azer
• Sayeed B Aziz, MD
• Nicole Gabrielle Babushkin, MD
• Ray Baet, PT

• Adult Medicine Physician in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Adult Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.