Organization Active NPI

P & I Gastroenterology PC

  • Gastroenterology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1003251240
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
P & I GASTROENTEROLOGY PC
Practice address
400 Sylvan Ave
Suite 103
Englewood Cliffs, NJ 07632-2729
Phone
(718) 321-3210
Fax
(718) 321-1004
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jae Geun Hyun, MDNPI 1700045598
Title
Owner
Phone
(718) 321-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

400 Sylvan Ave
Suite 103
Englewood Cliffs, NJ 07632-2729

Mailing address

400 Sylvan Ave
Suite 103
Englewood Cliffs, NJ 07632-2729
Phone (718) 321-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130829000496 NJ Part B Supplier - Clinic/Group Practice 3971746553 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2084829P & I Gastroenterology PC400 Sylvan Avenue # 103, Englewood Cliffs, NJ 07632Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1003251240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SYLVAN AVE",
            "address_2": "SUITE 103",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322729",
            "telephone_number": "718-321-3210",
            "fax_number": "718-321-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SYLVAN AVE",
            "address_2": "SUITE 103",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322729",
            "telephone_number": "718-321-3210",
            "fax_number": "718-321-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & I GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "JAE GEUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-3210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.