SENIORMED CLINIC FOR AGING PA NPI 1205957180

NPI Information

  • NPI: 1205957180
  • Provider Name: SENIORMED CLINIC FOR AGING PA
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Doing Business As: NA
  • Address: 7 JANUSON CT
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 736-8212

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NPI Details

SENIORMED CLINIC FOR AGING PA is a geriatric medicine internal medicine in West Orange, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. SENIORMED CLINIC FOR AGING PA NPI is 1205957180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Na.

The provider's business location address is:

7 JANUSON CT
WEST ORANGE, NJ
ZIP 07052-657
Phone: (973) 736-8212
Fax: (973) 736-0645

The provider's authorized official is Rowen Gumapas Diano .
The authorized official title is President and has the following contact phone number (973) 736-8212.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineMA 69300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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