Mid Atlantic Geriatric Association

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

25MA05837900 Issued in NJ

Legal business name

MID ATLANTIC GERIATRIC ASSOCIATION

Practice address

1205 Route 35
Ocean, NJ 07712-4051

Phone

(732) 663-0099

Fax

(732) 663-1359

NPI assigned

Jun 10, 2006

Last updated

Aug 22, 2020By 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. Joshua R Shua-Haim, MD FACP AGSF CMD

Title

Medical Director

Phone

(732) 663-0099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

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.

• Suhas R Patel, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Ocean, NJ
  • NPI 1104844778
  Medicare reassignment Care Compare group NPD
• Yelena Rafaelov

  • Family Nurse Practitioner
  • Lakewood, NJ
  • NPI 1891045688
  Medicare reassignment Care Compare group
• Marina K. Kerber, APN

  • Nurse Practitioner
  • Neptune, NJ
  • NPI 1508622739
  Medicare reassignment NPD
• Laura Susan Sofield II, RN, APN-C

  • Adult Health Nurse Practitioner
  • Ocean, NJ
  • NPI 1083684625
  Medicare reassignment NPD

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952342750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124051",
            "telephone_number": "732-663-0099",
            "fax_number": "732-663-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124051",
            "telephone_number": "732-663-0099",
            "fax_number": "732-663-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC GERIATRIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUA-HAIM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-663-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACP AGSF CMD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA05837900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence J Menditto, D.P.M.
• John Joseph Meo, RPH
• Stuart H Meyer, DDS
• Adam Matthew Meyers, D.O.
• Stephanie M Michlik, PT
• John David Mikhail, M.D.
• Melissa Miller, LPC, LCADC
• Donielle Mills
• Mis Pasos LLC
• Roy David Mittman, MD

• Geriatric Medicine (Internal Medicine) Physician in Ocean, NJ
• Providers in Ocean, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.