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ATLANTIC COAST GASTROENTEROLOGY ASSOCIATES NPI 1679512578


NPI Information

NPI: 1679512578
Provider Name: ATLANTIC COAST GASTROENTEROLOGY ASSOCIATES
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 31D2154434

Address:
1640 ROUTE 88 W
SUITE 202
BRICK, NJ
ZIP 08724
Phone: (732) 458-8300
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ATLANTIC COAST GASTROENTEROLOGY ASSOCIATES is a gastroenterology internal medicine in Brick, NJ. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. ATLANTIC COAST GASTROENTEROLOGY ASSOCIATES NPI is 1679512578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1640 ROUTE 88 W
SUITE 202
BRICK, NJ
ZIP 08724-036
Phone: (732) 458-8300
Fax: (732) 458-8529

The provider's authorized official is Scott Schlachter .
The authorized official title is Officer and has the following contact phone number (732) 458-8300.

The CLIA number assigned to this NPI record is 31D2154434 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 9/22/2010.


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
1207RG0100XInternal MedicineGastroenterologyNEW JERSEYYes

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
17343108MEDICAIDNEW JERSEY
2807729MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE PROVIDER NUMBER

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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