Gastroenterology Medical Associates

LBN: Gastroenterology Medical Associates
Gastroenterology Medical Associates is an health care organization with primary practice located at 9223 Kennedy Blvd Suite D, North Bergen NJ 07047-5322. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gastroenterology Medical Associates can be contacted via phone (201) 868-2849, or through Port, Alan via phone (201) 898-2849.

Contact Information

Primary practice address
9223 Kennedy Blvd Suite D North Bergen NJ 07047-5322
Fax: (201) 868-4190
Website:
Authorized official contact:
Name: Port, Alan

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA04429400 New Jersey

Profile Details

NPI number 1457393803
LBN Legal business name Gastroenterology Medical Associates
DBA Doing business as
Authorized official Port, Alan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Sep 28th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457393803 NPPES
New Jersey Other 2400229 GHI PPO GROUP #
New Jersey Other 0235258000 GHI PPO GROUP #
New Jersey Other CL6517 GHI PPO GROUP #
New Jersey MEDICAID 5529701 GHI PPO GROUP #
New Jersey Other 0182415 GHI PPO GROUP #
New Jersey Other 4476564 GHI PPO GROUP #

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