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AGE MANAGEMENT OF WEST MICHIGAN PC
NPI 1558700625
Internal Medicine in Grand Rapids, MI

Active since June 21, 2013CLIA 23D1071912 · Microscopy
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 808-2695 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Age Management Of West Michigan Pc NPPES

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

AGE MANAGEMENT OF WEST MICHIGAN PC (NPI 1558700625) is a healthcare organization registered as an internal medicine in Grand Rapids, Michigan and active in the NPI registry since June 2013. The organization holds a CLIA Microscopy certificate valid through October 20, 2026 and lists Piyush Bhatnagar, Clinical Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1558700625
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAGE MANAGEMENT OF WEST MICHIGAN PC
Location Address1959 E PARIS AVE SEGrand Rapids, MI 49546-6272
Mailing Address1959 E Paris Ave SeGrand Rapids, MI 49546-6272 · (616) 808-2695
Phone(616) 808-2695
Organization SubpartNo
Authorized OfficialPiyush BhatnagarClinical Medical Director/owner · (616) 808-2695
Enumeration DateJune 21, 2013
✔ NPI 1558700625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1959 E PARIS AVE SE, Grand Rapids, MI 49546
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 23D1071912

Age Management Of West Michigan · Grand Rapids, MI
Active · expires Oct 20, 2026
CLIA Number23D1071912
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorShahnaz Ali
Laboratory Phone(616) 808-2695
Laboratory LocationAge Management Of West Michigan1959 East Paris Ave SE, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 16

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

MARIA LYNN KURLENDA
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 363-7690
MRS. ALLISON BOONIE NP-C
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 363-7690
IRVING MARCUS MSAOM
Acupuncturist
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 808-2695
REBECCA JOHNSON NP
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 808-2695
RACHEL MARY BERLAND PA
Physician Assistant
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 808-2695
LAURA STEWART COUTURE APN
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 808-2695
MAUREEN ELIZABETH CLARK FNP-C
Nurse Practitioner (Family)
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 808-2695
BRENDA MAROGIL PA
Internal Medicine
1959 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 808-2695

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 Age Management Of West Michigan PC's NPI number?

The NPI number for Age Management Of West Michigan PC is 1558700625. It was assigned to this organization in the NPPES registry on June 21, 2013.

Where is Age Management Of West Michigan PC located?

Age Management Of West Michigan PC is located at 1959 E Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 808-2695.

What is Age Management Of West Michigan PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Age Management Of West Michigan PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D1071912) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Age Management Of West Michigan PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Age Management Of West Michigan PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Age Management Of West Michigan PC was last updated on June 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.