GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY PA NPI 1942267893

NPI Information

NPI: 1942267893
Provider Name: GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, PA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 31D1101430

Address:
205 BROWERTOWN RD STE 102
WOODLAND PARK, NJ
ZIP 07424
Phone: (973) 890-4780
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GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, PA is an ambulatory surgical clinic center in Woodland Park, NJ. GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, PA NPI is 1942267893. The provider is registered as an organization entity type.

The provider's business location address is:

205 BROWERTOWN RD STE 102
WOODLAND PARK, NJ
ZIP 07424-610
Phone: (973) 890-4780

The provider's authorized official is Jeffrey E Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 31D1101430 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 6/15/2022.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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	0574486	OTHER	NEW JERSEY	AETNA
2	IL9983	OTHER	NEW JERSEY	HEALTHNET
3	449095	OTHER	NEW JERSEY	CIGNA HEALTHCARE
4	311075	OTHER	NEW JERSEY	BLUE CROSS BLUE SHIELD
5	110129466	OTHER	NEW JERSEY	RAILROAD MEDICARE
6	A395291	OTHER	NEW JERSEY	OXFORD HEALTH PLANS

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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