GERIATRIC PROFESSIONAL GROUP, LLC
NPI 1932295953
Internal Medicine in Bridgeport, CT

Q: What is Geriatric Professional Group, LLC's NPI number?

The NPI number for Geriatric Professional Group, LLC is 1932295953. It was assigned to this organization in the NPPES registry on October 5, 2006.

Q: What is Geriatric Professional Group, LLC's specialty?

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

Active since October 05, 2006

4200 PARK AVE, BRIDGEPORT, CT 06604(203) 365-6473(203) 396-1039 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Geriatric Professional Group, Llc NPPES

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

GERIATRIC PROFESSIONAL GROUP, LLC (NPI 1932295953) is a healthcare organization registered as an internal medicine in Bridgeport, Connecticut and active in the NPI registry since October 2006. The organization lists Andrew H Banoff, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1932295953

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameGERIATRIC PROFESSIONAL GROUP, LLC

Location Address4200 PARK AVEBridgeport, CT 06604-1049

Mailing Address4200 Park AveBridgeport, CT 06604-1049 · (203) 365-6473 · Fax (203) 396-1039

Phone(203) 365-6473

Fax(203) 396-1039

Organization SubpartNo

Authorized OfficialAndrew H BanoffPresident/ceo · (203) 365-6400

Enumeration DateOctober 5, 2006

Last NPPES UpdateNovember 7, 2016

✔ NPI 1932295953 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.

4200 PARK AVE, Bridgeport, CT 06604

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Other Identifiers 2

Medicaid9233CT

Medicare UPINC02995CT

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

Other Providers at the Same Location NPPES 20

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

HALEY SCHAEFER DPT

Physical Therapist