Active NPIOrganization

Gastroenterolgy Center, PA

Internal Medicine, Gastroenterology in Montclair, New Jersey

NPI Number1538147582
Practice location
21 Plymouth St, Montclair, NJ 07042-2607
Fax
973-746-7922
Last updated
June 8, 2010

Gastroenterolgy Center, PA is a healthcare organization based in Montclair, NJ. Gastroenterolgy Center, PA practices in Montclair, NJ. The NPI Number for Gastroenterolgy Center, PA is 1538147582 and holds a License No. 25MA08496100 (NJ). The current practice location address for Gastroenterolgy Center, PA is 21 Plymouth St, Montclair, NJ 07042-2607 and can be reached out via phone at 973-746-5166 and via fax at 973-746-7922.

Provider Profile Details

NPI Number
1538147582
Provider Name
Gastroenterolgy Center, PA
Provider Entity Type
Organization
Address
21 Plymouth St, Montclair, NJ 07042-2607
Phone Number
973-746-5166
Fax Number
973-746-7922
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Victor Groisser, MD · Owner · 973-746-5166
Provider Enumeration Date
January 9, 2006
Last Update Date
June 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Plymouth St
Montclair, NJ 07042-2607
Zip
07042-2607
Phone Number
973-746-5166
Fax Number
973-746-7922
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
21 Plymouth St
Montclair, NJ 07042-2607
City
Montclair
State
NJ
Zip
07042-2607
Phone Number
973-746-5166
Fax Number
973-746-7922

License Information

License Number (1)
25MA08496100
License State (1)
NJ
License Number (2)
MA-16509
License State (2)
NJ
Taxonomy (2)
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 Gastroenterolgy Center, PA?

The NPI number of Gastroenterolgy Center, PA is 1538147582. It was assigned on January 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Gastroenterolgy Center, PA?

Gastroenterolgy Center, PA is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 25MA08496100.

Where does Gastroenterolgy Center, PA practice?

The practice location is 21 Plymouth St, Montclair, NJ 07042-2607. The office can be reached at 973-746-5166 (phone) or 973-746-7922 (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 1538147582 directly on the NPPES registry website.

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