Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of New Jersey

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1104005057

State of New Jersey provides Geriatric Medicine (Internal Medicine) Physician services in Paramus, New Jersey. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

1 Veterans Way
Paramus, NJ 07652-4100 Not confirmed with CMS for 18 years — call before visiting
Phone: (201) 634-8509
Fax: (201) 967-8658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1104005057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerard Feenan — Cfo · (201) 634-8509
Other names New Jersey Veterans Memorial Home Paramus
NPI enumeratedOctober 29, 2007
Last updated in NPPESOctober 29, 2007
Mailing address1 Veterans Way, Paramus, NJ 07652-4100

Other providers in Paramus