Geriatric Professional Group, LLC
NPI 1932295953ActiveOrganization· Internal Medicine· Bridgeport, CT
Internal Medicine in Bridgeport, Connecticut, registered in NPPES in October 2006. The authorized official on file is Andrew H. Banoff, President/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932295953 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 5, 2006 |
| Last updated in NPPES | Nov 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | CT |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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