Active NPIOrganization

The Gastroenterology Group Of Northern New Jersey,llc

Internal Medicine, Gastroenterology in Englewood, New Jersey

NPI Number1073944005
Practice location
420 Grand Ave, Suite 101, Englewood, NJ 07631-4152
Fax
201-569-1999
Last updated
December 10, 2013

The Gastroenterology Group Of Northern New Jersey,llc is a healthcare organization based in Englewood, NJ. The Gastroenterology Group Of Northern New Jersey,llc practices in Englewood, NJ. The NPI Number for The Gastroenterology Group Of Northern New Jersey,llc is 1073944005 and holds a License No. 25MA03997000 (NJ). The current practice location address for The Gastroenterology Group Of Northern New Jersey,llc is 420 Grand Ave, Suite 101, Englewood, NJ 07631-4152 and can be reached out via phone at 201-569-7044 and via fax at 201-569-1999.

Provider Profile Details

NPI Number
1073944005
Provider Name
The Gastroenterology Group Of Northern New Jersey,llc
Provider Entity Type
Organization
Address
420 Grand Ave, Suite 101, Englewood, NJ 07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Ivan A Friedrich, MD · Physician/Board Of Governors · 201-569-7044
Provider Enumeration Date
December 2, 2013
Last Update Date
December 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
420 Grand Ave
Suite 101
Englewood, NJ 07631-4152
Zip
07631-4152
Phone Number
201-569-7044
Fax Number
201-569-1999
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
420 Grand Ave
Suite 101
Englewood, NJ 07631
City
Englewood
State
NJ
Zip
07631
Phone Number
201-569-7044
Fax Number
201-569-1999

License Information

License Number
25MA03997000
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of The Gastroenterology Group Of Northern New Jersey,llc?

The NPI number of The Gastroenterology Group Of Northern New Jersey,llc is 1073944005. It was assigned on December 2, 2013 and is currently active in the NPPES registry.

What is the specialty of The Gastroenterology Group Of Northern New Jersey,llc?

The Gastroenterology Group Of Northern New Jersey,llc is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA03997000.

Where does The Gastroenterology Group Of Northern New Jersey,llc practice?

The practice location is 420 Grand Ave, Suite 101, Englewood, NJ 07631-4152. The office can be reached at 201-569-7044 (phone) or 201-569-1999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073944005 directly on the NPPES registry website.

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