| Shore Geriatrics, Llc | |
|
700 Route 71 Sea Girt NJ 08750 | |
| (732) 974-3146 | |
| (732) 974-1985 |
| Full Name | Shore Geriatrics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Route 71, Sea Girt, New Jersey |
| Authorized Official Name and Position | Elena M Regalman (OWNER) |
| Authorized Official Contact | 7322451563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Geriatrics, Llc 401 W Sylvania Ave Apt 6-b Neptune NJ 07753-5979 Ph: (732) 245-1563 | Shore Geriatrics, Llc 700 Route 71 Sea Girt NJ 08750 Ph: (732) 974-3146 |
| NPI Number | 1427276450 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012000904 |
|---|---|
| Medicare Enrollment ID | O20070910000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427276450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MA08154900 (New Jersey) | Primary |
| Provider Name | Elena M Regalman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962581942 PECOS PAC ID: 2860585742 Enrollment ID: I20070910000039 |
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