Healthcare Provider Details

I. General information

NPI: 1083537799
Provider Name (Legal Business Name): GARDEN STATE GERIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 ROBBINS ROAD SOUTH
MILLSTONE TOWNSHIP NJ
08510
US

IV. Provider business mailing address

41 ROBBINS ROAD SOUTH
MILLSTONE TOWNSHIP NJ
08510
US

V. Phone/Fax

Practice location:
  • Phone: 609-658-2934
  • Fax:
Mailing address:
  • Phone: 609-658-2934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ANUSUYA JEYAKUMAR
Title or Position: PRESIDENT
Credential: MD
Phone: 609-658-2934