GERIATRICS AND LONGEVITY TREATMENT SPECIALIST, PC
NPI 1306121504
Family Medicine - Geriatric Medicine in Hackensack, NJ
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Geriatrics And Longevity Treatment Specialist, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Geriatrics And Longevity Treatment Specialist, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Geriatrics And Longevity Treatment Specialist, PC's NPI number?
The NPI number for Geriatrics And Longevity Treatment Specialist, PC is 1306121504. It was assigned to this organization in the NPPES registry on October 19, 2011.
Where is Geriatrics And Longevity Treatment Specialist, PC located?
Geriatrics And Longevity Treatment Specialist, PC is located at 810 Main St, Hackensack, NJ 07601. The listed phone number is (201) 663-7375.
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.
Is Geriatrics And Longevity Treatment Specialist, PC enrolled in Medicare?
Yes. Geriatrics And Longevity Treatment Specialist, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Geriatrics And Longevity Treatment Specialist, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Geriatrics And Longevity Treatment Specialist, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Clinical Social Worker (4) and Internal Medicine (2). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Geriatrics And Longevity Treatment Specialist, PC was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Geriatrics And Longevity Treatment Specialist, Pc · NPI 1306121504
Geriatric Medicine organization in Hackensack, New Jersey. Organization record, active in the CMS NPPES registry since October 19, 2011.
## Identity
- **NPI:** 1306121504 (Entity type: Organization)
- **Enumerated:** October 19, 2011
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Stefanos Pantagis, OWNER
## Practice location
- **Address:** 810 MAIN ST, Hackensack, NJ 07601-4847
- **Phone:** (201) 663-7375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Clinical Social Worker (4), Internal Medicine (2); 4 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1306121504) · Data from the CMS NPPES public registry.