Mid State Gastroenterology LLC
Specialist in Freehold, New Jersey
1235472424- Practice location
- 800 W Main St Ste 111, Freehold, NJ 07728-2555
- Phone
- 732-800-8950
- Fax
- 732-800-8951
- Last updated
- October 25, 2021
Mid State Gastroenterology LLC is a healthcare organization based in Freehold, NJ. Mid State Gastroenterology LLC practices in Freehold, NJ. The NPI Number for Mid State Gastroenterology LLC is 1235472424. The current practice location address for Mid State Gastroenterology LLC is 800 W Main St Ste 111, Freehold, NJ 07728-2555 and can be reached out via phone at 732-800-8950 and via fax at 732-800-8951.
Provider Profile Details
- NPI Number
- 1235472424
- Provider Name
- Mid State Gastroenterology LLC
- Provider Entity Type
- Organization
- Address
- 800 W Main St Ste 111, Freehold, NJ 07728-2555
- Phone Number
- 732-800-8950
- Fax Number
- 732-800-8951
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Shelly Lowell Ludwig, MD · President/Owner · 732-800-8950
- Provider Enumeration Date
- April 5, 2013
- Last Update Date
- October 25, 2021
- Certification Date
- October 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 W Main St Ste 111
Freehold, NJ 07728-2555 - City
- Freehold
- State
- New Jersey
- Zip
- 07728-2555
- Phone Number
- 732-800-8950
- Fax Number
- 732-800-8951
Provider Business Mailing Address Details
- Address
- 800 W Main St Ste 111
Freehold, NJ 07728-2555 - City
- Freehold
- State
- NJ
- Zip
- 07728-2555
- Phone Number
- 328-008-9507
- Fax Number
- 732-800-8951
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mid State Gastroenterology LLC?
The NPI number of Mid State Gastroenterology LLC is 1235472424. It was assigned on April 5, 2013 and is currently active in the NPPES registry.
What is the specialty of Mid State Gastroenterology LLC?
Mid State Gastroenterology LLC is registered under the primary taxonomy Specialist (code 174400000X).
Where does Mid State Gastroenterology LLC practice?
The practice location is 800 W Main St Ste 111, Freehold, NJ 07728-2555. The office can be reached at 732-800-8950 (phone) or 732-800-8951 (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 1235472424 directly on the NPPES registry website.