Geriatrics and Longevity Treatment Specialist, PC
NPI 1306121504 · Geriatric Medicine (Family Medicine) Physician · Hackensack, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Geriatrics and Longevity Treatment Specialist, PC is a Geriatric Medicine (Family Medicine) Physician organization in Hackensack, NJ (NPI 1306121504).
Provider details
- NPI number
- 1306121504
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stefanos Pantagis, Owner(201) 663-7375
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Registry dates
- Enumerated
- 2011-10-19
- Last updated
- 2013-11-13
Frequently asked questions
- What is Geriatrics and Longevity Treatment Specialist, PC's NPI number?
- Geriatrics and Longevity Treatment Specialist, PC's National Provider Identifier (NPI) is 1306121504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Geriatrics and Longevity Treatment Specialist, PC?
- Geriatrics and Longevity Treatment Specialist, PC is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Geriatrics and Longevity Treatment Specialist, PC located?
- Geriatrics and Longevity Treatment Specialist, PC's practice location on file with NPPES is 810 Main St, Hackensack, NJ 07601-4847.
- What is Geriatrics and Longevity Treatment Specialist, PC's phone number?
- The practice phone number listed in the NPPES registry for Geriatrics and Longevity Treatment Specialist, PC is (201) 663-7375.
- Does Geriatrics and Longevity Treatment Specialist, PC accept Medicare?
- Geriatrics and Longevity Treatment Specialist, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Geriatrics and Longevity Treatment Specialist, PC?
- The authorized official listed on Geriatrics and Longevity Treatment Specialist, PC's NPPES record is Stefanos Pantagis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Geriatrics and Longevity Treatment Specialist, PC's NPI active?
- Yes — Geriatrics and Longevity Treatment Specialist, PC's NPI (1306121504) is active in the NPPES registry as of the last update on 2013-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.