SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC – NPI #1811977705
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.

SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC is a provider located in SWEDESBORO, NJ. NPPES has assigned the NPI number 1811977705 to SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC on January 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC” is a dba name, the actual legal business name for this organization is SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC. 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

The NPI profile was previously updated about 17 years ago on Feb 24, 2009. 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 SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC below.

NPI Profile for
SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC

NPI Number
1811977705
Enumeration Date

(more than 20 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
SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC
Doing Business As (dba): SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC
Primary location
2005 KINGS HWY
SWEDESBORO, NJ 08085-3217
Phone: (856) 467-0390 Fax: (856) 467-9747
Mailing address
PO BOX 62
SWEDESBORO, NJ 08085-0062
Phone: (856) 467-0390 Fax: (856) 467-9747
Organization Subpart
No
Authorized Official
KIRIT CHHAYA
PARTNER
Phone: (856) 467-0390
Updated
Identifiers

Identifiers for SOUTHERN GASTROENTEROLOGY ASSOCIATES OF NJ LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARENJCK2336
MEDICAIDNJ7281803
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 25MA06255100

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.