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 is a Geriatric Medicine (Internal Medicine) Physician 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
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