Pavonia Gastroenterology Llc

LBN: Pavonia Gastroenterology Llc
Pavonia Gastroenterology Llc is an health care organization with primary practice located at 600 Pavonia Avenue 3Rd Floor, Jersey City NJ 07306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Pavonia Gastroenterology Llc can be contacted via phone (201) 216-3065, or through Stoopack, Paul M via phone (201) 216-3065.

Contact Information

Primary practice address
600 Pavonia Avenue 3Rd Floor Jersey City NJ 07306
Phone: (201) 216-3065
Fax: (201) 499-0250
Website:
Map and Directions
Authorized official contact:
Name: Stoopack, Paul M Doctor of Medicine (MD)
Phone: (201) 216-3065

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA05631200 New Jersey

Profile Details

NPI number 1508071002
LBN Legal business name Pavonia Gastroenterology Llc
DBA Doing business as
Authorized official Stoopack, Paul M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1508071002 NPPES
New Jersey MEDICAID 5037000

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