| Geriatrics Associates Of New Jersey Llc | |
|
300 Etra Drive East Windsor NJ 08520 | |
| (609) 426-6631 | |
| (609) 426-6630 |
| Full Name | Geriatrics Associates Of New Jersey Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Etra Drive, East Windsor, New Jersey |
| Authorized Official Name and Position | Ahmed Mirza (OWNER) |
| Authorized Official Contact | 7322663733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatrics Associates Of New Jersey Llc 5 Sanibel Ct Monroe Township NJ 08831-5816 Ph: (732) 422-7118 | Geriatrics Associates Of New Jersey Llc 300 Etra Drive East Windsor NJ 08520 Ph: (609) 426-6631 |
| NPI Number | 1073819512 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 4385810183 |
|---|---|
| Medicare Enrollment ID | O20111228000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073819512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmed Anas Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114094711 PECOS PAC ID: 3779529250 Enrollment ID: I20050706000804 |
| Provider Name | Barbara Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275736951 PECOS PAC ID: 0648280719 Enrollment ID: I20060503000728 |
| Provider Name | Sridevi Allu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982762183 PECOS PAC ID: 4385726686 Enrollment ID: I20080125000100 |
| Provider Name | Ismet A Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538363841 PECOS PAC ID: 1456490838 Enrollment ID: I20091124000199 |
| Provider Name | Ghalia Hanif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952556326 PECOS PAC ID: 1557547122 Enrollment ID: I20110516000505 |
| Provider Name | Kim Brunnet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295243715 PECOS PAC ID: 3779844022 Enrollment ID: I20180228002528 |
| Provider Name | Chana Z Kohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902572761 PECOS PAC ID: 0143619809 Enrollment ID: I20211118000688 |
| Provider Name | Kajal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598343634 PECOS PAC ID: 1456722131 Enrollment ID: I20230117000033 |
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