ADVANCED GASTROENTEROLOGY, PA – NPI #1164739447
Internal Medicine

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.

ADVANCED GASTROENTEROLOGY, PA is a provider located in WEST ORANGE, NJ. NPPES has assigned the NPI number 1164739447 to ADVANCED GASTROENTEROLOGY, PA on September 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED GASTROENTEROLOGY, PA below.

NPI Profile for
ADVANCED GASTROENTEROLOGY, PA

NPI Number
1164739447
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED GASTROENTEROLOGY, PA
Primary location
741 NORTHFIELD AVENUE
SUITE 204
WEST ORANGE, NJ 07052
Phone: (973) 731-8686 Fax: (973) 731-1911
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GLEN MOGAN
OWNER
Phone: (973) 731-8686
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
NJ 25MA037333

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.