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Geriatric Professional Group, LLC

Internal Medicine Physician in Bridgeport, CT · enumerated 2006 · authorized official Andrew Banoff, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932295953

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Registry record

Entity type Organization (Type 2)
Legal business name Geriatric Professional Group, LLC
Practice address 4200 Park Ave, Bridgeport, CT, 06604
Fax (203) 396-1039
Enumeration date Oct 5, 2006
Last updated in NPPES Nov 7, 2016

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Andrew Banoff
Title President/Ceo

Other identifiers

Identifier Type State Issuer
9233 Medicaid CT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-07. Verify at npiregistry.cms.hhs.gov.
Where is Geriatric Professional Group, LLC located?
The practice location on file with NPPES is in Bridgeport, CT.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-07.