Healthcare Provider Details

I. General information

NPI: 1659275048
Provider Name (Legal Business Name): GERICARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N COUNTY LINE RD
JACKSON NJ
08527-0247
US

IV. Provider business mailing address

20 N COUNTY LINE RD
JACKSON NJ
08527-0247
US

V. Phone/Fax

Practice location:
  • Phone: 346-283-6521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. BEN GOLDSTAIN
Title or Position: CEO
Credential:
Phone: 346-283-6521