Center For Dynamic Aging, LLC
Internal Medicine in Fort Lee, New Jersey
1235576109- Practice location
- 1530 Palisade Ave, Fort Lee, NJ 07024-5471
- Phone
- 201-363-8871
- Fax
- 201-363-8873
- Last updated
- May 31, 2013
Center For Dynamic Aging, LLC is a healthcare organization based in Fort Lee, NJ. Center For Dynamic Aging, LLC practices in Fort Lee, NJ. The NPI Number for Center For Dynamic Aging, LLC is 1235576109 and holds a License No. 25MA063457 (NJ). The current practice location address for Center For Dynamic Aging, LLC is 1530 Palisade Ave, Fort Lee, NJ 07024-5471 and can be reached out via phone at 201-363-8871 and via fax at 201-363-8873.
Provider Profile Details
- NPI Number
- 1235576109
- Provider Name
- Center For Dynamic Aging, LLC
- Provider Entity Type
- Organization
- Address
- 1530 Palisade Ave, Fort Lee, NJ 07024-5471
- Phone Number
- 201-363-8871
- Fax Number
- 201-363-8873
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Terri F Katz, MD · President · 201-363-8871
- Provider Enumeration Date
- May 31, 2013
- Last Update Date
- May 31, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1530 Palisade Ave
Fort Lee, NJ 07024-5471 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-5471
- Phone Number
- 201-363-8871
- Fax Number
- 201-363-8873
Provider Business Mailing Address Details
- Address
- 1530 Palisade Ave
Fort Lee, NJ 07024-5471 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-5471
- Phone Number
- 201-363-8871
- Fax Number
- 201-363-8873
License Information
- License Number
- 25MA063457
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Center For Dynamic Aging, LLC?
The NPI number of Center For Dynamic Aging, LLC is 1235576109. It was assigned on May 31, 2013 and is currently active in the NPPES registry.
What is the specialty of Center For Dynamic Aging, LLC?
Center For Dynamic Aging, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA063457.
Where does Center For Dynamic Aging, LLC practice?
The practice location is 1530 Palisade Ave, Fort Lee, NJ 07024-5471. The office can be reached at 201-363-8871 (phone) or 201-363-8873 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235576109 directly on the NPPES registry website.