Provider Demographics
NPI:1093751497
Name:GERIATRIC AND MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:GERIATRIC AND MEDICAL SERVICES INC.
Other - Org Name:PHILLIPSBURG CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:843 WILBUR AVE
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-3453
Practice Address - Country:US
Practice Address - Phone:908-454-2627
Practice Address - Fax:908-454-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ062101314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ21080Medicaid
315311OtherHORIZON - SNF
0004472000OtherAMERIHEALTH
0004472000OtherIBC
317106OtherUS FAMILY HEALTH PLAN
4506600OtherUNISYS #
494085OtherAETNA-HMO
A3318287OtherOXFORD HEALTH PLANS
=========OtherHCPC
494085OtherAETNA-HMO
=========OtherCONSUMER HEALTH NETWORK
A3318287OtherOXFORD HEALTH PLANS
NJ21080Medicaid