1. Home
  2. Directory
  3. New Jersey
  4. Forked River
  5. Family Medicine
  6. NPI Profile

ATLANTIC AGE MANAGEMENT
NPI 1932507183
Family Medicine - Adult Medicine in Forked River, NJ

Active since December 19, 2014
34 MANCHESTER AVE, FORKED RIVER, NJ 08731(609) 489-4648 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlantic Age Management NPPES

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

ATLANTIC AGE MANAGEMENT (NPI 1932507183) is a healthcare organization registered as an adult medicine in Forked River, New Jersey and active in the NPI registry since December 2014. The organization lists George Trim, President, as its authorized official.

NPPES Registry Identity

NPI1932507183
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameATLANTIC AGE MANAGEMENT
Location Address34 MANCHESTER AVEForked River, NJ 08731-1366
Mailing Address34 Manchester AveForked River, NJ 08731-1366 · (609) 489-4648
Phone(609) 489-4648
Organization SubpartNo
Authorized OfficialGeorge TrimPresident · (609) 489-4648
Enumeration DateDecember 19, 2014
✔ NPI 1932507183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NJ · MA 51879
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
34 MANCHESTER AVE, Forked River, NJ 08731
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE23759

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

Other Providers at the Same Location NPPES 7

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

MICHAEL CHRISTOPHER VILE MSPT
Physical Therapist
34 MANCHESTER AVE, SUITE 104
FORKED RIVER, NJ 08731
Ocean County (609) 693-9345
SHANNON KEYES DMD LLC
Dentist (General Practice)
34 MANCHESTER AVE, SUITE 204
FORKED RIVER, NJ 08731
Ocean County (609) 971-7900
PAUL SULLIVAN PT, DPT
Physical Therapist
34 MANCHESTER AVE
FORKED RIVER, NJ 08731
Ocean County (609) 693-9345
DR. SHANNON MARIE KEYES DMD
Dentist (General Practice)
34 MANCHESTER AVE, SUIET 103
FORKED RIVER, NJ 08731
Ocean County (609) 971-7900
SARAH ROWLEY BOCK DPT
Physical Therapist
34 MANCHESTER AVE, SUITE 104
FORKED RIVER, NJ 08731
Ocean County (609) 693-9345
ROBIN M. HAACK MSW, LCSW
Social Worker (Clinical)
34 MANCHESTER AVE, SUITE 205
FORKED RIVER, NJ 08731
Ocean County (609) 339-5938
ROBIN MARIE BOTTINO LCSW
Social Worker (Clinical)
34 MANCHESTER AVE, SUITE 205
FORKED RIVER, NJ 08731
Ocean County (609) 971-7060

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 Atlantic Age Management's NPI number?

The NPI number for Atlantic Age Management is 1932507183. It was assigned to this organization in the NPPES registry on December 19, 2014.

Where is Atlantic Age Management located?

Atlantic Age Management is located at 34 Manchester Ave, Forked River, NJ 08731. The listed phone number is (609) 489-4648.

What is Atlantic Age Management's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Atlantic Age Management was last updated on December 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.