REFORMED CHURCH HOUSE STAFF
NPI 1508072745
Family Medicine - Geriatric Medicine in Old Bridge, NJ

Q: What is Reformed Church Ministries To The Aging, The Particular Synod Of The M's specialty?

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

Active since May 15, 2007CLIA 31D0672460 · Waiver

1990 STATE ROUTE 18, OLD BRIDGE, NJ 08857(732) 607-9230(732) 607-9231 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2024, Oct 4, 2018 (2 updates tracked since 2018).

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About Reformed Church House Staff NPPES

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

REFORMED CHURCH HOUSE STAFF (NPI 1508072745) is a healthcare organization registered as a geriatric medicine in Old Bridge, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Edward Mezic, Physician, as its authorized official.

NPPES Registry Identity

NPI1508072745

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameREFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M

Location Address1990 STATE ROUTE 18Old Bridge, NJ 08857-3771

Mailing AddressPo Box 1247Toms River, NJ 08754-1247

Phone(732) 607-9230

Fax(732) 607-9231

Organization SubpartNo

Authorized OfficialEdward MezicPhysician · (732) 349-3838

Enumeration DateMay 15, 2007

Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1508072745 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.

1990 STATE ROUTE 18, Old Bridge, NJ 08857

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Other Names 1

Doing Business AsReformed Church House Staff

Other Identifiers 1

Medicaid4477511NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 31D0672460

Reformed Church Home · Old Bridge, NJ

Active · expires Aug 31, 2026

CLIA Number31D0672460

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJennifer L. Belandres

Laboratory Phone(732) 607-9230

Laboratory LocationReformed Church Home1990 Route 18 North, Old Bridge, NJ 08857

CLIA data matches this NPI record on: Phone

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

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 Reformed Church Ministries To The Aging, The Particular Synod Of The M's NPI number?

The NPI number for Reformed Church Ministries To The Aging, The Particular Synod Of The M is 1508072745. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Reformed Church House Staff.

Where is Reformed Church Ministries To The Aging, The Particular Synod Of The M located?

Reformed Church Ministries To The Aging, The Particular Synod Of The M is located at 1990 State Route 18, Old Bridge, NJ 08857. The listed phone number is (732) 607-9230.

What is Reformed Church Ministries To The Aging, The Particular Synod Of The M's specialty?

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

Does Reformed Church Ministries To The Aging, The Particular Synod Of The M hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0672460) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reformed Church Ministries To The Aging, The Particular Synod Of The M was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.