Additional Services

Geriatric Primary Care in Princeton, NJ

As adults age, their healthcare needs become more complex, more interconnected, and more dependent on a physician who takes the time to understand the full picture. Chronic conditions interact with each other. Medications affect cognition, balance, and kidney function. Functional changes signal risks that require proactive management. Geriatric primary care done well requires more than a rushed annual visit — it requires a physician who is genuinely invested in long-term outcomes.

At Jersey Family Health, our geriatric primary care services in Princeton, NJ are built around the recognition that older adults have fundamentally different healthcare needs than younger patients — and that meeting those needs requires more time, more clinical nuance, and a physician who is genuinely invested in their long-term quality of life. Dr. Moizah Saad and Dr. Salman Saad provide comprehensive, compassionate geriatric care for adults typically 65 and older, with a focus on chronic disease optimization, medication safety, cognitive health, fall prevention, and maintaining independence as long as possible.

Whether you are looking for a geriatric doctor in Princeton, NJ for yourself or a family member, a geriatric physician who coordinates care across multiple providers, or a practice that offers both Direct Primary Care memberships and insurance-based visits for older adults, Jersey Family Health provides the continuity, attention, and clinical depth that geriatric patients deserve — serving patients from Princeton, Skillman, Montgomery, Hillsborough, South Brunswick, Hopewell, and Plainsboro, NJ.

Why Geriatric Primary Care Matters

The healthcare needs of older adults are not simply an extension of adult primary care — they are qualitatively different in ways that have profound implications for how care is delivered. Adults over 65 are far more likely to be managing multiple chronic conditions simultaneously, taking five or more medications with complex interaction profiles, experiencing age-related changes in organ function that alter how drugs are absorbed and metabolized, and navigating cognitive or functional changes that affect their ability to follow through on treatment recommendations. A primary care approach that works well for a 45-year-old patient is often inadequate — and sometimes harmful — when applied without modification to a 75-year-old with the same diagnoses.

At Jersey Family Health, we treat geriatric care as a specialty within primary care that requires dedicated time, clinical expertise, and a long-term relationship with each patient and their family. Our physicians conduct comprehensive geriatric assessments, develop individualized geriatric care plans that address the full complexity of each patient’s health, and remain accessible between visits for the questions and concerns that arise in managing the health of an older adult over time. For DPC members, this means direct physician access when something changes — a fall, a new symptom, a medication concern — without waiting weeks for an available appointment.

Age-Based Preventive Care Guidance

Family medicine adapts as you age. Here’s how care evolves across life stages:

Children & Adolescents

Adults (18–49)

Adults 50+

Preventive family medicine reduces long-term complications and supports healthier aging.

Common Geriatric Care Concerns We Address

Our executive health program is comprehensive by design — built to give high-performing professionals a complete picture of their current health status and a clear, actionable plan for the future. Here is what our executive health assessment includes:

Chronic Disease Management in Older Adults

Managing multiple chronic conditions simultaneously including diabetes, hypertension, heart failure, COPD, and chronic kidney disease
Adjusting treatment targets appropriately for older adults where aggressive management may carry more risk than benefit
Monitoring for condition-specific complications that carry heightened risk in the geriatric population
Balancing the management of multiple conditions without over-medicalizing care or diminishing quality of life
Coordinating with specialists while maintaining a primary care physician as the central point of clinical oversight

Medication Safety and Polypharmacy Review

Reviewing medication lists for potentially inappropriate prescriptions in older adults per Beers Criteria guidelines
Identifying drug-drug and drug-disease interactions across complex multi-medication regimens
Deprescribing medications that are no longer indicated, are causing side effects, or carry risks that outweigh benefits in an older adult
Monitoring for medication side effects that present differently in older adults including falls, confusion, and urinary changes
Reconciling medications across multiple prescribers to eliminate duplication and reduce overall medication burden

Cognitive Health and Memory Monitoring

Annual cognitive screening using validated assessment tools to establish baseline and track changes over time
Early identification of mild cognitive impairment or dementia-related changes for timely intervention and planning
Differentiating between normal age-related cognitive changes and pathological decline requiring further evaluation
Management of behavioral and sleep symptoms associated with cognitive decline
Family education and referral to neurology or geriatric psychiatry when cognitive evaluation warrants subspecialty input

Fall Prevention and Mobility Assessment

Comprehensive fall risk assessment including gait evaluation, balance testing, and home environment review
Medication review for drugs that increase fall risk including sedatives, blood pressure agents, and anticholinergics
Physical therapy referral and coordination for patients with gait instability or reduced lower extremity strength
Bone health assessment and osteoporosis management to reduce fracture risk in the event of a fall
Assistive device recommendation and home safety counseling for high-risk patients

Functional Independence and Quality of Life

Assessment of activities of daily living and instrumental activities of daily living to track functional status over time
Social isolation screening and community resource referral for older adults with limited support networks
Advance care planning discussions including goals of care, healthcare proxy designation, and end-of-life preferences
Coordination with home health agencies, visiting nurse services, and community support programs when needed
Nutrition and hydration assessment in older adults where malnutrition and dehydration are common and underrecognized

What Our Geriatric Care Services Include

Comprehensive geriatric assessment including medical history, physical exam, functional status evaluation, cognitive screening, and fall risk assessment
Individualized geriatric care plan addressing chronic disease management, medication safety, preventive care, and functional goals
Polypharmacy review and medication reconciliation using Beers Criteria and STOPP/START guidelines for older adult medication safety
Chronic disease optimization including diabetes, hypertension, heart failure, COPD, atrial fibrillation, and chronic kidney disease management tailored to geriatric treatment targets
Annual cognitive screening with validated tools and monitoring for progression over time
Fall risk assessment and individualized fall prevention planning including medication review, physical therapy referral, and home safety guidance
Osteoporosis evaluation and management including bone density assessment referral, calcium and vitamin D optimization, and bisphosphonate therapy when indicated
Preventive care including age-appropriate cancer screenings, vaccinations including pneumococcal, influenza, shingles, RSV, and COVID-19, and cardiovascular risk monitoring
Advance care planning discussions and documentation including healthcare proxy and goals of care
Caregiver education and family communication to ensure care plans are understood and supported at home
Coordination of care across multiple specialists to ensure treatment plans are aligned and medication regimens are consistent
Home health and community resource referral for patients requiring additional support between visits
Telehealth follow-up visits for established geriatric patients for whom in-office travel is burdensome or difficult

When Should You Book a Geriatric Care Visit?

You or a family member is 65 or older and managing multiple chronic conditions without a physician coordinating the full picture

You are concerned that a current medication list has never been thoroughly reviewed for safety, interactions, or continued appropriateness

You have noticed memory changes, word-finding difficulties, or cognitive shifts that need baseline assessment and monitoring

You or a family member has experienced a fall or near-fall and needs a comprehensive fall risk evaluation and prevention plan

You want a geriatric physician who takes the time to address the full complexity of an older adult's health rather than focusing on a single condition per visit

You are managing care for an aging parent and need a physician who communicates clearly with family members and coordinates across multiple providers

You have not had a comprehensive geriatric assessment — including functional status, cognitive screening, and medication review — in the past year

You want to establish advance care planning goals with a physician who will honor and incorporate them into your ongoing care

Dr. Moizah Saad, DO

Dr. Moizah Saad is a board-certified Internal Medicine physician and graduate of the University of Connecticut Internal Medicine residency, with over 10 years of experience in both outpatient and inpatient care including her current role as a hospitalist at Princeton Medical Center. Her extensive experience managing older adults with complex, multi-system illness in the hospital setting gives her a uniquely comprehensive perspective on geriatric care — one that informs every outpatient geriatric care plan she builds with the goal of keeping patients healthy, stable, and out of the hospital. She is a member of the ABIM and ACP.

Meet Your Physicians

Dr. Salman Saad, MD

Dr. Salman Saad is a board-certified Family Medicine physician and graduate of the Mayo Clinic-affiliated residency program at Mercy Hospital. With over 15 years of primary care experience managing complex chronic disease and older adult patients across multiple states, he brings a thorough and patient-centered approach to geriatric primary care that emphasizes functional independence, medication safety, and long-term quality of life. He is a member of the ABFM, AAFP, and DPCA.

Why Choose Jersey Family Health for Geriatric Primary Care?

Longer Appointments That Address the Full Complexity of Aging

Older adults cannot be adequately cared for in ten-minute visits. Managing multiple chronic conditions, reviewing a complex medication list, screening for cognitive changes, and addressing functional concerns all require time that standard primary care simply does not provide. Our 30 to 45 minute appointments give your physician the space to address every dimension of your health at every visit — not rotate through a checklist with the clock running.

Dedicated Medication Safety Review

Polypharmacy is one of the greatest threats to the health and safety of older adults — and one of the most correctable. Our physicians conduct regular, systematic medication reviews using evidence-based criteria for older adult prescribing safety, identifying inappropriate medications, dangerous interactions, and opportunities to reduce overall medication burden without compromising disease management. This is one of the highest-impact services we provide to our geriatric patients.

Cognitive Monitoring and Early Detection

We incorporate validated cognitive screening into our annual geriatric visits to establish baseline function and detect early changes that may indicate mild cognitive impairment or early dementia. Early identification allows for timely intervention, appropriate specialist referral, and advance care planning while patients still have full capacity to participate in decisions about their future care.

Coordinated Care Across Multiple Providers

Older adults often see multiple specialists — cardiologists, endocrinologists, neurologists, orthopedists — whose treatment recommendations do not always align. Our physicians serve as the central coordinator of your care, reviewing specialist recommendations in the context of your full medical picture, reconciling medications across prescribers, and ensuring your overall treatment plan is coherent, safe, and consistent with your goals.

Hybrid Model — DPC and Insurance Under One Roof

Jersey Family Health is a hybrid practice. We offer both DPC membership and traditional insurance billing — meaning patients can choose the model that works for their situation, and switch if their needs change. You are not locked into a single payment structure.

Direct Physician Access for Families and Caregivers

For DPC members, family members and caregivers can reach the physician directly when a concern arises between visits — a medication question, a new symptom, a fall, or a change in behavior — without waiting for the next available appointment. For families managing the care of an older loved one, this accessibility provides enormous peace of mind and often prevents small problems from becoming large ones.

Your Older Adult Deserves a Physician Who Has the Time to Care

Geriatric patients are not simply older adults with more problems. They are individuals with decades of life experience, deeply personal health goals, and healthcare needs that require a physician who brings both clinical expertise and genuine human attention to every visit. At Jersey Family Health in Princeton, NJ, that is the standard of geriatric care we hold ourselves to — for every patient, at every appointment. We welcome new geriatric patients and their families from Princeton, Skillman, Montgomery, Hillsborough, South Brunswick, Hopewell, and Plainsboro. Telehealth visits are available for established patients in New Jersey, New York, and California. No enrollment fee until Summer 2026.

Frequently Asked Questions

Q1: At what age should someone begin geriatric primary care?

Geriatric care is generally most appropriate for adults 65 and older, particularly those managing multiple chronic conditions, taking several medications, or experiencing functional and cognitive changes. Some patients in their early 60s with complex health needs also benefit from a geriatric-focused primary care approach.

Q2:What is a comprehensive geriatric assessment?

A comprehensive geriatric assessment evaluates physical health, cognitive function, emotional wellbeing, functional status, fall risk, social support, and medication safety in a single structured evaluation. It produces an individualized geriatric care plan that addresses each of these domains with specific goals and interventions.

Q3: How do you handle care coordination with specialists?

We actively communicate with your specialists, review their recommendations in the context of your full medical picture, reconcile medications across prescribers, and ensure your overall care plan is coherent and consistent. You always have a primary care physician at the center of your care who knows the full picture.

Q4: Can family members be involved in geriatric care appointments?

Absolutely. We welcome and encourage family member and caregiver participation in geriatric appointments, particularly when the patient benefits from additional support in understanding and following through on care recommendations. With appropriate patient consent, we communicate openly with family members involved in your loved one’s care.

Q5: Do you offer telehealth for geriatric patients?

Yes. Telehealth follow-up visits are available for established geriatric patients in New Jersey, New York, and California — particularly valuable for patients for whom travel to the office is difficult. In-person visits are recommended for new patient evaluations, comprehensive assessments, and physical examinations.