GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC
NPI 1306121504
Family Medicine - Geriatric Medicine in Hackensack, NJ

Q: What is Geriatrics And Longevity Treatment Specialist, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since October 19, 2011

810 MAIN ST, HACKENSACK, NJ 07601(201) 663-7375 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Geriatrics And Longevity Treatment Specialist, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC (NPI 1306121504) is a healthcare organization registered as a geriatric medicine in Hackensack, New Jersey and active in the NPI registry since October 2011. The organization lists Stefanos G Pantagis, Owner, as its authorized official.

NPPES Registry Identity

NPI1306121504

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameGERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC

Location Address810 MAIN STHackensack, NJ 07601-4847

Mailing Address810 Main StHackensack, NJ 07601-4847 · (201) 663-7375

Phone(201) 663-7375

Organization SubpartNo

Authorized OfficialStefanos G PantagisOwner · (201) 663-7375

Enumeration DateOctober 19, 2011

Last NPPES UpdateNovember 13, 2013

✔ NPI 1306121504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

810 MAIN ST, Hackensack, NJ 07601

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2081467

Geriatrics And Longevity Treatment Specialist, PC · Hackensack, NJ

Expired · Jul 24, 2026

CLIA Number31D2081467

Laboratory TypePhysician Office

Certificate Effective DateJuly 25, 2024

Certificate Expiration DateJuly 24, 2026

Laboratory DirectorStefanos G. Pantagis

Laboratory Phone(201) 488-6728

Laboratory LocationGeriatrics And Longevity Treatment Specialist, PC810 Main Street, Hackensack, NJ 07601

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SALVATORE J FORCINA MD

Surgery