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

Medical and Geratric Associate PC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1871804534

Medical and Geratric Associate PC is a Geriatric Medicine (Internal Medicine) Physician in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2239 Center Ave
Fort Lee, NJ 07024-6123
Phone: (201) 747-1684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 25MA07927200 (NJ)

Record details

NPI number1871804534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loris Mansour — Board Of Directors · (201) 747-1684
NPI enumeratedJune 28, 2010
Last updated in NPPESJune 28, 2010
Mailing addressPo Box 52, Fort Lee, NJ 07024-0052

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