State of New Jersey
NPI 1104005057 · Geriatric Medicine (Internal Medicine) Physician · Paramus, NJ
State of New Jersey is a Geriatric Medicine (Internal Medicine) Physician organization in Paramus, NJ (NPI 1104005057).
Provider details
- NPI number
- 1104005057
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerard Feenan, Cfo(201) 634-8509
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- New Jersey Veterans Memorial Home Paramus
Registry dates
- Enumerated
- 2007-10-29
- Last updated
- 2007-10-29
Frequently asked questions
- What is State of New Jersey's NPI number?
- State of New Jersey's National Provider Identifier (NPI) is 1104005057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of New Jersey?
- State of New Jersey is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is State of New Jersey located?
- State of New Jersey's practice location on file with NPPES is 1 Veterans Way, Paramus, NJ 07652-4100.
- What is State of New Jersey's phone number?
- The practice phone number listed in the NPPES registry for State of New Jersey is (201) 634-8509.
- Who is the authorized official for State of New Jersey?
- The authorized official listed on State of New Jersey's NPPES record is Gerard Feenan, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of New Jersey's NPI active?
- Yes — State of New Jersey's NPI (1104005057) is active in the NPPES registry as of the last update on 2007-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.