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GARDEN STATE GERIATRICS LLC
NPI 1861719718
Clinic/Center - Primary Care in Teaneck, NJ

Active since April 30, 2010
773 TEANECK ROAD, TEANECK, NJ 07666(201) 530-5390(201) 530-5391 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Garden State Geriatrics Llc NPPES

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

GARDEN STATE GERIATRICS LLC (NPI 1861719718) is a healthcare organization registered as a primary care in Teaneck, New Jersey and active in the NPI registry since April 2010. The organization lists Kavitha Subramanian, Physician, as its authorized official.

NPPES Registry Identity

NPI1861719718
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGARDEN STATE GERIATRICS LLC
Location Address773 TEANECK ROADTeaneck, NJ 07666
Mailing Address53 Heather Hill RdCresskill, NJ 07626 · (732) 491-1093 · Fax (201) 530-5391
Phone(201) 530-5390
Fax(201) 530-5391
Organization SubpartNo
Authorized OfficialKavitha SubramanianPhysician · (732) 491-1093
Enumeration DateApril 30, 2010
Last NPPES UpdateMay 27, 2010
✔ NPI 1861719718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA07857500
773 TEANECK ROAD, Teaneck, NJ 07666
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Other Identifiers 2

Medicare UPIN71214NJ
Medicaid0153982NJ

Other Providers at the Same Location NPPES 2

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

ROSANNA MODESTO MD
Internal Medicine
773 TEANECK ROAD
TEANECK, NJ 07666
Bergen County (201) 837-7662
ROSANNA HODESTO MD PA
Internal Medicine
773 TEANECK ROAD
TEANECK, NJ 07666
Bergen County (201) 837-7662

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 Garden State Geriatrics LLC's NPI number?

The NPI number for Garden State Geriatrics LLC is 1861719718. It was assigned to this organization in the NPPES registry on April 30, 2010.

Where is Garden State Geriatrics LLC located?

Garden State Geriatrics LLC is located at 773 Teaneck Road, Teaneck, NJ 07666. The listed phone number is (201) 530-5390.

What is Garden State Geriatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Garden State Geriatrics LLC was last updated on May 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.