GASTROENTEROLOGY GROUP OF SOUTH JERSEY P C (NPI# 1245391051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245391051 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY GROUP OF SOUTH JERSEY P C |
| Practice Address |
602 W Sherman Ave Vineland NJ 08360-7054 |
| Practice Telephone | 8566911400 |
| Practice Fax Number | 8566917117 |
| Mailing Telephone | 8566911400 |
| Mailing Fax Number | 8566917117 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | GARY MATUSOW (OWNER) |
| Authorized Official Telephone | 8566911400 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 0458453 | 01 |
| NJ | HORIZON NJ HEALTH | 1055942 | 01 |
| NJ | 5430208 | 05 | |
| NJ | AMERICHOICE | CU000003403 | 01 |
| NJ | AMERIHEALTH | 0185588000 | 01 |
| Street Address |
602 W SHERMAN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-7054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288321 | Vincent A Mclaughlin | Specialist | 602 W Sherman Ave, Vineland, NJ 08043-9544 | 2005-10-10 |
| 1033763206 | Digestive Health Center of South Jersey LLC | Internal Medicine | 602 W Sherman Ave, Vineland, NJ 08360-7054 | 2019-07-26 |
| 1578095931 | The Gastroenterology Group of South Jersey | Anesthesiology | 602 W Sherman Ave, Vineland, NJ 08360-7054 | 2017-04-03 |
| 1841594504 | Dream Partners LLC | Anesthesiology | 602 W Sherman Ave, Vineland, NJ 08360-7054 | 2011-01-10 |
| 1134272628 | Maria Rosario Pagan | Nurse Practitioner | 602 W Sherman Ave, Vineland, NJ 08360-7054 | 2007-01-19 |
| 1255376653 | Endoscopy Center of South Jersey P C | Clinic/Center | 602 W Sherman Ave, Vineland, NJ 08360-7054 | 2006-06-19 |
| 1033154463 | Gary Matusow | Specialist | 602 W Sherman Ave, Vineland, NJ 08360-7054 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487696407 | L. Robert Smith | Specialist | 1176 Karin St, Vineland, NJ 08360-4209 | 2006-06-12 |
| 1447200407 | Vincent A Jarrett | Specialist | 1103 S Delsea Dr, Vineland, NJ 08360-6263 | 2006-05-11 |
| 1295703437 | Ear,nose and Throat Specialists,pc | Specialist | 1206 W Sherman Ave, Suite B2, Vineland, NJ 08360-6916 | 2006-03-14 |
| 1336125558 | Michele A Torchia | Specialist | 484 S Brewster Rd, Vineland, NJ 08361-7874 | 2005-12-20 |
| 1790776789 | David H Blom | Specialist | 1027 E Chestnut Ave, Vineland, NJ 08360-5838 | 2005-10-31 |
| 1164413076 | Ramakrishna R Sudhindra I | Specialist | 1505 W Sherman Avenue, Suite 101, Vineland, NJ 08360 | 2005-10-31 |
| 1841288321 | Vincent A Mclaughlin | Specialist | 602 W Sherman Ave, Vineland, NJ 08043-9544 | 2005-10-10 |
| 1467740233 | Tms of Southern New Jersey, LLC | Specialist | 1138 E Chestnut Ave, Ste 6b, Vineland, NJ 08360-5053 | 2011-07-14 |
| 1154639052 | Plastic & Cosmetic Surgery Institute PC | Specialist | 1051 W Sherman Ave, Bldg 2, Suite A, Vineland, NJ 08360-6931 | 2010-09-14 |
| 1548411895 | Sussannah Savitri Walsh | Specialist | 1102 E Chestnut Ave, Vineland, NJ 08360-5002 | 2008-10-06 |
| Find all providers in VINELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.