GASTROENTEROLOGY MEDICAL ASSOCIATES NPI 1457393803

NPI Information

NPI: 1457393803
Provider Name: GASTROENTEROLOGY MEDICAL ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
9223 KENNEDY BLVD
SUITE D
NORTH BERGEN, NJ
ZIP 07047
Phone: (201) 868-2849
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GASTROENTEROLOGY MEDICAL ASSOCIATES is a specialist in North Bergen, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GASTROENTEROLOGY MEDICAL ASSOCIATES NPI is 1457393803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9223 KENNEDY BLVD
SUITE D
NORTH BERGEN, NJ
ZIP 07047-322
Phone: (201) 868-2849
Fax: (201) 868-4190

The provider's authorized official is Alan Port .
The authorized official title is Delegated Official and has the following contact phone number (201) 898-2849.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 9/28/2007.

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
1	174400000X	Specialist		25MA04429400	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5529701	MEDICAID	NEW JERSEY
2	0235258000	OTHER	NEW JERSEY	AMERIHEALTH GROUP #
3	CL6517	OTHER	NEW JERSEY	RAILROAD MEDICARE GROUP #
4	0182415	OTHER	NEW JERSEY	AETNA HMO GROUP #
5	2400229	OTHER	NEW JERSEY	GHI PPO GROUP #
6	4476564	OTHER	NEW JERSEY	AETNA PPO GROUP #
7	444927	MEDICARE PIN	NEW JERSEY

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

NPI Synchronization or Removal

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