Active NPIOrganization

Garden State Gastroenterology,pc

Internal Medicine, Gastroenterology in Old Bridge, New Jersey

NPI Number1215124524
Practice location
200 Perrine RD, Suite 231, Old Bridge, NJ 08857-2842
Fax
732-525-9777
Last updated
October 1, 2007

Garden State Gastroenterology,pc is a healthcare organization based in Old Bridge, NJ. Garden State Gastroenterology,pc practices in Old Bridge, NJ. The NPI Number for Garden State Gastroenterology,pc is 1215124524 and holds a License No. MA59602 (NJ). The current practice location address for Garden State Gastroenterology,pc is 200 Perrine RD, Suite 231, Old Bridge, NJ 08857-2842 and can be reached out via phone at 732-525-0600 and via fax at 732-525-9777.

Provider Profile Details

NPI Number
1215124524
Provider Name
Garden State Gastroenterology,pc
Provider Entity Type
Organization
Address
200 Perrine RD, Suite 231, Old Bridge, NJ 08857-2842
Phone Number
732-525-0600
Fax Number
732-525-9777
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Mrs. Tracey Drevelus Hom · Office Manager · 732-525-0600
Provider Enumeration Date
October 1, 2007
Last Update Date
October 1, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Perrine RD
Suite 231
Old Bridge, NJ 08857-2842
Zip
08857-2842
Phone Number
732-525-0600
Fax Number
732-525-9777
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
Po Box 209
Wickatunk, NJ 07765-0209
City
Wickatunk
State
NJ
Zip
07765-0209
Phone Number
732-525-0600
Fax Number
732-525-9777

License Information

License Number
MA59602
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 Garden State Gastroenterology,pc?

The NPI number of Garden State Gastroenterology,pc is 1215124524. It was assigned on October 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Garden State Gastroenterology,pc?

Garden State Gastroenterology,pc is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number MA59602.

Where does Garden State Gastroenterology,pc practice?

The practice location is 200 Perrine RD, Suite 231, Old Bridge, NJ 08857-2842. The office can be reached at 732-525-0600 (phone) or 732-525-9777 (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 1215124524 directly on the NPPES registry website.

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