SOUTH JERSEY PEDIATRIC GASTROENTEROLOGY, LLC (NPI# 1497921845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497921845 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY PEDIATRIC GASTROENTEROLOGY, LLC |
| Other Organization Name | SJPEDGI |
| Practice Address |
5429 Harding Hwy Suite 302 Mays Landing NJ 08330-2263 |
| Practice Telephone | 6096258688 |
| Practice Fax Number | 6096254162 |
| Mailing Telephone | 6096258688 |
| Mailing Fax Number | 6096254162 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | DR. JOHN TUNG (OWNER) |
| Authorized Official Telephone | 6096258688 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
25MA0719400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8007101 | 05 |
| Other Name | Type Code |
|---|---|
| SJPEDGI | Doing Business As Name - Organization |
| Street Address |
5429 HARDING HWY SUITE 302 |
| City | MAYS LANDING |
| State | NJ |
| Zip Code | 08330-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649259250 | Arnold Saguin Bacarro | Internal Medicine | 5429 Harding Hwy, Suite 301, Mays Landing, NJ 08330-2203 | 2006-01-11 |
| 1760918528 | Nicole Piela | Physical Therapist | 5429 Harding Hwy, Brickworks Office Park Suite # 203, Mays Landing, NJ 08330-2263 | 2017-05-11 |
| 1720332216 | Msk Honshin Medical Acupuncture LLC | Clinic/Center | 5429 Harding Hwy, Ste 301, Mays Landing, NJ 08330-2263 | 2012-11-05 |
| 1265554760 | Arnold S Bacarro Md Pa | Internal Medicine | 5429 Harding Hwy, Suite 301, Mays Landing, NJ 08330-2263 | 2007-04-04 |
| 1194832311 | John Y Tung | Pediatrics | 5429 Harding Hwy, Suite 302, Mays Landing, NJ 08330-2263 | 2006-08-24 |
| 1285669796 | Gregory Joseph Defelice | Dentist | 5429 Harding Hwy, Suite 101, Mays Landing, NJ 08330-2263 | 2006-07-12 |
| 1336188564 | Chad Richard Winterbottom | Chiropractor | 5429 Harding Hwy, Suite 201, Mays Landing, NJ 08330-2203 | 2006-06-05 |
| 1780623918 | Ernest Erwin Winterbottom Jr. | Chiropractor | 5429 Harding Hwy, Suite 201, Mays Landing, NJ 08330-2203 | 2006-06-05 |
| 1285689208 | Winterbottom Family Chiropractic, LLC | Chiropractor | 5429 Harding Hwy, Suite 201, Mays Landing, NJ 08330-2203 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1306478458 | Kinjal Chaudhary | Optometrist | 510 Consumer Square, Mays Landing, NJ 08330 | 2020-02-06 |
| 1730721721 | Stacey R Gelman | Physician Assistant | 1161 New Jersey 50, Suite L, Mays Landing, NJ 08330 | 2019-10-11 |
| 1790254159 | Atlantic Apothecary | Pharmacy | 505 Hamilton Commons, Mays Landing, NJ 08330 | 2018-11-15 |
| 1205334059 | Mandy S Liberty | Registered Nurse | 5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330 | 2018-01-26 |
| 1447613104 | Heather Dugandzic | Pharmacist | 4454 Blackhorse Pike, Mays Landing, NJ 08330 | 2016-03-31 |
| 1588037527 | Caringhouse Projects, Inc | Respite Care | 5905 Buttercup Lane, Mays Landing, NJ 08330 | 2015-11-12 |
| 1902282205 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5270 Oakwoord Boulevard, Mays Landing, NJ 08330 | 2015-08-10 |
| 1730510207 | Anais Mixson | Specialist/Technologist | 4438 Yorktown Pl, Mays Landing, NJ 08330 | 2013-12-09 |
| Find all providers in zip 08330 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194832311 | John Y Tung | Pediatrics | 5429 Harding Hwy, Suite 302, Mays Landing, NJ 08330-2263 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419377 | Gary Alan Herman | Pediatrics | 45 Arreton Rd, Princeton, NJ 08540-1427 | 2015-06-15 |
| 1487972659 | Jeannette Rose Gonzalez Simon | Pediatrics | 19 Hathaway Ln, Verona, NJ 07044-2306 | 2010-05-12 |
| 1902123615 | Melissa Weidner | Pediatrics | 51 French St, Meb-303, New Brunswick, NJ 08901-1921 | 2010-04-21 |
| 1851537146 | Jay Barth | Pediatrics | 550 Warwick Ave, Teaneck, NJ 07666-2927 | 2008-12-17 |
| 1225290919 | Khadija T Toor | Pediatrics | 38 Meadowlands Pkwy Ste 205, Secaucus, NJ 07094-2925 | 2008-06-25 |
| 1720265234 | Mohini Gautam Patel | Pediatrics | 100 Madison Ave Fl 2, Goryeb Children's Hospital At Morristown Medical Center, Morristown, NJ 07960-6136 | 2008-01-28 |
| 1265643068 | Katherine Atienza Orellana | Pediatrics | 155 Polifly Rd Ste 102, Hackensack, NJ 07601-1771 | 2007-05-24 |
| 1649484791 | Rupinder K Gill | Pediatrics | Mob 3, Saint Peter's University Hospital, New Brunswick, NJ 08901 | 2007-05-09 |
| 1356336960 | Kathleen Graham Lomax | Pediatrics | 1 Health Plz, Building 125/3434a, East Hanover, NJ 07936-1016 | 2005-09-20 |
| 1578557344 | Martin Daniel Fried | Pediatrics | 3200 Sunset Ave, Suite 100, Ocean, NJ 07712-4567 | 2005-09-07 |
| Find all providers with the same taxonomy | ||||
| City | MAYS LANDING |
| Zip Code | 08330 |
Please comment or provide details below to improve the information on SOUTH JERSEY PEDIATRIC GASTROENTEROLOGY, LLC.
| 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.