GARDEN STATE GASTROENTEROLOGY,PC – NPI #1215124524
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.

Health Care Provider Taxonomy Code for Internal Medicine

GARDEN STATE GASTROENTEROLOGY,PC is a provider located in OLD BRIDGE TOWNSHIP, NJ. NPPES has assigned the NPI number 1215124524 to GARDEN STATE GASTROENTEROLOGY,PC on October 01, 2007. 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 GARDEN STATE GASTROENTEROLOGY,PC below.

NPI Profile for
GARDEN STATE GASTROENTEROLOGY,PC

NPI Number
1215124524
Enumeration Date

(more than 18 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
GARDEN STATE GASTROENTEROLOGY,PC
Primary location
200 PERRINE RD
SUITE 231
OLD BRIDGE TOWNSHIP, NJ 08857-2842
Phone: (732) 525-0600 Fax: (732) 525-9777
Mailing address
PO BOX 209
WICKATUNK, NJ 07765-0209
Phone: (732) 525-0600 Fax: (732) 525-9777
Organization Subpart
No
Authorized Official
TRACEY DREVELUS HOM
OFFICE MANAGER
Phone: (732) 525-0600
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 MA59602

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.