Advanced Gastroenterology, PA
Internal Medicine, Gastroenterology in West Orange, New Jersey
1164739447- Practice location
- 741 Northfield Avenue, Suite 204, West Orange, NJ 07052
- Phone
- 973-731-8686
- Fax
- 973-731-1911
- Last updated
- September 8, 2010
Advanced Gastroenterology, PA is a healthcare organization based in West Orange, NJ. Advanced Gastroenterology, PA practices in West Orange, NJ. The NPI Number for Advanced Gastroenterology, PA is 1164739447 and holds a License No. 25MA037333 (NJ). The current practice location address for Advanced Gastroenterology, PA is 741 Northfield Avenue, Suite 204, West Orange, NJ 07052 and can be reached out via phone at 973-731-8686 and via fax at 973-731-1911.
Provider Profile Details
- NPI Number
- 1164739447
- Provider Name
- Advanced Gastroenterology, PA
- Provider Entity Type
- Organization
- Address
- 741 Northfield Avenue, Suite 204, West Orange, NJ 07052
- Phone Number
- 973-731-8686
- Fax Number
- 973-731-1911
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Organization Subpart
- No
- Authorized Official
- Glen R Mogan, MD · Owner · 973-731-8686
- Provider Enumeration Date
- September 8, 2010
- Last Update Date
- September 8, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 741 Northfield Avenue
Suite 204
West Orange, NJ 07052 - City
- West Orange
- State
- New Jersey
- Zip
- 07052
- Phone Number
- 973-731-8686
- Fax Number
- 973-731-1911
Provider Business Mailing Address Details
- Address
- 741 Northfield Avenue
Suite 204
West Orange, NJ 07052 - City
- West Orange
- State
- NJ
- Zip
- 07052
- Phone Number
- 973-731-8686
- Fax Number
- 973-731-1911
License Information
- License Number
- 25MA037333
- License State
- NJ
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Gastroenterology providers near West Orange, NJ
View all Internal Medicine, Gastroenterology providers in West Orange →- Affiliates In Gastroenterology PAInternal Medicine, Gastroenterology · NPI 1689728479
- Barnabas Health MultispecialtyInternal Medicine, Gastroenterology · NPI 1538597745
- Dr. Elias G Estifan, MDInternal Medicine, Gastroenterology · NPI 1871023192
- Dr. Jon D Green, MDInternal Medicine, Gastroenterology · NPI 1245283563
- GastrocureInternal Medicine, Gastroenterology · NPI 1912236530
- John N Green, M.d.,paInternal Medicine, Gastroenterology · NPI 1417079062
Frequently Asked Questions
What is the NPI number of Advanced Gastroenterology, PA?
The NPI number of Advanced Gastroenterology, PA is 1164739447. It was assigned on September 8, 2010 and is currently active in the NPPES registry.
What is the specialty of Advanced Gastroenterology, PA?
Advanced Gastroenterology, PA is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA037333.
Where does Advanced Gastroenterology, PA practice?
The practice location is 741 Northfield Avenue, Suite 204, West Orange, NJ 07052. The office can be reached at 973-731-8686 (phone) or 973-731-1911 (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 1164739447 directly on the NPPES registry website.