GASTROENTEROLOGY MEDICAL ASSOCIATES (NPI# 1457393803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457393803 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY MEDICAL ASSOCIATES |
| Practice Address |
9223 Kennedy Blvd Suite D North Bergen NJ 07047-5322 |
| Practice Telephone | 2018682849 |
| Practice Fax Number | 2018684190 |
| Mailing Telephone | 2018682849 |
| Mailing Fax Number | 2018684190 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-09-28 |
| Authorized Official Name | ALAN PORT (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 2018982849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA04429400 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA HMO GROUP # | 0182415 | 01 |
| NJ | RAILROAD MEDICARE GROUP # | CL6517 | 01 |
| NJ | 5529701 | 05 | |
| NJ | AETNA PPO GROUP # | 4476564 | 01 |
| NJ | GHI PPO GROUP # | 2400229 | 01 |
| NJ | AMERIHEALTH GROUP # | 0235258000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649341249 | Gastroenterology Medical Associates | Specialist | 142 Palisade Ave, Suite 201, Jersey City, NJ 07306-1133 | 2006-11-13 |
| Street Address |
9223 KENNEDY BLVD SUITE D |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| 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 |
|---|---|---|---|---|
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1902146210 | Maria P Oujo | Specialist | 8216 Kennedy Blvd, Apt 2, North Bergen, NJ 07047-4268 | 2013-02-22 |
| 1609125160 | Rosa Maria Cucu | Specialist | 1411 88th St, North Bergen, NJ 07047-4360 | 2012-08-30 |
| 1144582768 | Adriana Rodriguez | Specialist | 8700 Boulevard E Apt 2c, North Bergen, NJ 07047-7003 | 2012-06-10 |
| 1306932249 | Antonio Morgado | Specialist | 6045 Kennedy Boulevard, North Bergen, NJ 07047 | 2006-10-05 |
| 1821199951 | Maria Pilar Capo | Specialist | 700 79th St, North Bergen, NJ 07047-4965 | 2006-09-25 |
| 1891241238 | Integrity Interventional Pain Management LLC | Specialist | 6233 Jf Kennedy Blvd, North Bergen, NJ 07047-3451 | 2016-08-26 |
| 1609232693 | Kindell Saunders | Specialist | 3161 Kennedy Blvd, North Bergen, NJ 07047-2303 | 2016-01-07 |
| 1013309095 | Ismelda Rodriguez | Specialist | 9122 Columbia Ave, North Bergen, NJ 07047-4432 | 2015-02-26 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
Please comment or provide details below to improve the information on GASTROENTEROLOGY MEDICAL ASSOCIATES.
| 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.