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

Center for Dynamic Aging, LLC

Organization Internal Medicine Physician · NPI 1235576109

Center for Dynamic Aging, LLC is an Internal Medicine Physician in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1530 Palisade Ave
Fort Lee, NJ 07024-5471
Phone: (201) 363-8871
Fax: (201) 363-8873
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA063457 (NJ)

Record details

NPI number1235576109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Katz — President · (201) 363-8871
NPI enumeratedMay 31, 2013
Last updated in NPPESMay 31, 2013
Mailing address1530 Palisade Ave, Fort Lee, NJ 07024-5471

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