Glen R Mogan (NPI# 1326015124, PAC ID# 9931016938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
Nation Provider ID (NPI) | 1326015124 |
PAC ID by PECOS | 9931016938 |
Professional Enrollment ID | I20100913000926 |
Full Name | Glen R Mogan |
Organization Legal Name | ADVANCED GASTROENTEROLOGY, PA |
Address |
200 S Orange Ave Livingston NJ 07039-5817 |
Phone Number | 9733227755 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
Graduation Year | 1975 |
Primary Specialty | GASTROENTEROLOGY |
Group Practice PAC ID | 0749305837 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310076 | SAINT BARNABAS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
200 S Orange Ave, Livingston, NJ 07039-5817 | 9733227755 | ADVANCED GASTROENTEROLOGY, PA |
200 S Orange Ave, Suite 128, Livingston, NJ 07039-5817 | 9733227755 | ADVANCED GASTROENTEROLOGY, PA |
695 Chestnut St, Union, NJ 07083-7200 | 9086886565 | CENTER FOR DIGESTIVE DISEASES PA |
Organization Legal Name | ADVANCED GASTROENTEROLOGY, PA |
Physicians | 1 |
Street Address |
200 S ORANGE AVE |
City | LIVINGSTON |
State | NJ |
Zip | 07039-5817 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward M Decter | Orthopedic Surgery | Tri-county Orthopaedic and Sports Medicine Pa | 200 S Orange Ave, Suite 230, Livingston, NJ 07039-5817 |
Jill M Ritter | Rheumatology | 200 S Orange Ave, Suite 107, Livingston, NJ 07039-5817 | |
Mangala Nadkarni | Neurology | Institute of Neurology and Neurosurgery At Saint Barnabas | 200 S Orange Ave, Suite 101, Livingston, NJ 07039-5817 |
Marianne C Cleary | Physician Assistant | Tri-county Orthopaedic and Sports Medicine Pa | 200 S Orange Ave, Suite 230, Livingston, NJ 07039-5817 |
Douglas W Robinson | Physician Assistant | Orthopaedics Unlimited LLC | 200 S Orange Ave, Suite 230, Livingston, NJ 07039-5817 |
Michael Kuo | Internal Medicine | Barnabas Health Medical Group PC | 200 S Orange Ave, Suite 101, Livingston, NJ 07039-5817 |
Daniel J Disabatino | Obstetrics/gynecology | Regional Womens Health Group LLC | 200 S Orange Ave, Suite 290, Livingston, NJ 07039-5817 |
Julian A Decter | Hematology/oncology | 200 S Orange Ave, Suite 107, Livingston, NJ 07039-5817 | |
Rina Goldberg | Neurology | Institute of Neurology and Neurosurgery At Saint Barnabas | 200 S Orange Ave, Suite 101, Livingston, NJ 07039-5817 |
Guha Venkatraman | Neurology | Institute of Neurology and Neurosurgery At Saint Barnabas | 200 S Orange Ave, Suite 101, Livingston, NJ 07039-5817 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Marc Bruckner | Podiatry | 13 Birch Tree Ln, Livingston, NJ 07039-1202 | |
Danielle Plotno | Clinical Social Worker | 7 Driftwood Dr, Livingston, NJ 07039-1425 | |
Amy Knitzer | Clinical Social Worker | Keith Golin Phd LLC | 369 E Mount Pleasant Ave, Livingston, NJ 07039-1503 |
Cristina Shaheen | Psychologist, Clinical | 369 E Mount Pleasant Ave, Brandywine Living At Livingston, Livingston, NJ 07039-1503 | |
Frank R Ferrise | Psychologist, Clinical | 629 W Mount Pleasant Ave, Livingston, NJ 07039-1609 | |
William F Ivory | Psychologist, Clinical | Daniel Edelman, Psy.d.p.c. | 15 Microlab Rd, Suite 17, Livingston, NJ 07039-1618 |
Daniel M Edelman | Psychologist, Clinical | Daniel Edelman, Psy.d.p.c. | 15 Microlab Rd, Suite 17, Livingston, NJ 07039-1618 |
Jodi L Fox | Clinical Social Worker | Jewish Family Service of Metrowest | 570 W Mount Pleasant Ave, Suite 106, Livingston, NJ 07039-1619 |
Anne E Mollen | Clinical Social Worker | Jewish Family Service of Metrowest | 570 W Mt Pleasant Ave, Livingston, NJ 07039-1619 |
Alyson M Kaplan | Clinical Social Worker | Jewish Family Service of Metrowest | 570 W Mount Pleasant Ave, Suite 106, Livingston, NJ 07039-1619 |
Find all physicians in zip 07039 |
City | LIVINGSTON |
Zip Code | 07039 |
Specialty | GASTROENTEROLOGY |
City + Specialty | LIVINGSTON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Glen R Mogan.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.