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JERSEY SHORE GASTOENTEROLOGY NPI 1043741663


NPI Information

NPI: 1043741663
Provider Name: JERSEY SHORE GASTOENTEROLOGY
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 31D0932894

Address:
2500 ENGLISH CREEK AVE
SUITE 903
EGG HARBOR TOWNSHIP, NJ
ZIP 08234
Phone: (609) 645-1880
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JERSEY SHORE GASTOENTEROLOGY is a non pharmacy dispensing site in Egg Harbor Township, NJ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) JERSEY SHORE GASTOENTEROLOGY NPI is 1043741663. The provider is registered as an organization entity type.

The provider's business location address is:

2500 ENGLISH CREEK AVE
SUITE 903
EGG HARBOR TOWNSHIP, NJ
ZIP 08234-549
Phone: (609) 645-1880

The provider's authorized official is Joel Krachman .
The authorized official title is Member and has the following contact phone number (609) 645-1880.

The CLIA number assigned to this NPI record is 31D0932894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2017 and was last updated on 3/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing Site25MB05159800NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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