Individual provider Active NPI

George Pavlou, M.D.

  • Gastroenterology Physician
  • Woodland Park, NJ
National Provider Identifier
1023014909
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA05427500 Issued in NJ
Practice address
205 Browertown Rd Ste 201
Woodland Park, NJ 07424-2610
Phone
(973) 812-8120
Fax
(973) 812-8144
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA05427500 NJ Primary

Addresses

Primary practice location

205 Browertown Rd Ste 201
Woodland Park, NJ 07424-2610

Mailing address

1130 McBride Ave FL 3
Woodland Park, NJ 07424-3806
Phone (973) 812-1400

Other practice location 1

764 Main St Ste 303
Paterson, NJ 07503-2640
Phone (973) 812-8120

Other practice location 2

9 Post Rd Ste M7
Oakland, NJ 07436-1615
Phone (973) 812-8120

Other practice location 3

88 Park St
Montclair, NJ 07042-5915
Phone (973) 233-9559

Other practice location 4

468 Parish Dr Ste 6
Wayne, NJ 07470-4671
Phone (973) 988-2100

Other identifiers 11

IdentifierTypeStateIssuer
0415017OtherNJGHI PPO
5395305MedicaidNJ
0507703000OtherNJAMERIHEALTH
830AM1OtherNJEMPIRE BC/BS
830AM2OtherNJEMPIRE BC/BS
P3929711OtherNJOXFORD
110076087OtherNJRAILROAD MEDICARE
4298741OtherNJAETNA PPO
3K8624OtherNJHEALTHNET
1945337OtherNJAETNA HMO
439953OtherNJWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000475 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 0749285872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of New Jersey LLCGroup PAC ID 4284706656, 78 clinicians

Practice addresses (Care Compare)

205 Browertown Rd
Suite 201
Woodland Park, NJ 07424-2610
Phone (973) 812-8120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as individual
Quality
74.9
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy176
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of New Jersey, LLC Gastroenterology CurrentSince Jul 1, 1991 Accepting new patients
Gastroenterology Diagnostics of Northern New Jersey, PA Gastroenterology PastSince Jun 1, 2022 Accepting new patients

Locations

88 Park St
Ste 1
Montclair, NJ 07042

88 Park St
Montclair, NJ 07042
Phone (973) 233-9559

9 Post Rd
Ste M7
Oakland, NJ 07436
Phone (201) 337-9498

19 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-3412

764 Main St
Ste 303
Paterson, NJ 07503
Phone (862) 249-4901

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

468 Parish Dr
Ste 6
Wayne, NJ 07470
Phone (973) 686-2777

246 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (862) 336-9988

205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-7515

1130 McBride Ave
Woodland Park, NJ 07424
Phone (201) 256-5557

205 Browertown Rd
Ste 201
Woodland Park, NJ 07424
Phone (201) 796-8860

1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277

205 Browertown Rd
Ste 102
Woodland Park, NJ 07424
Phone (973) 890-4780

Interoperability endpoints

  • Direct secure messaging: george.pavlou@ganj.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1023014909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVE FL 3",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243806",
            "telephone_number": "973-812-1400",
            "fax_number": "973-812-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD STE 201",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242610",
            "telephone_number": "973-812-8120",
            "fax_number": "973-812-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "764 Main St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032640",
            "country_code": "US",
            "telephone_number": "973-812-8120",
            "fax_number": "973-812-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Post Rd Ste M7",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074361615",
            "country_code": "US",
            "telephone_number": "973-812-8120",
            "fax_number": "973-812-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Park St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070425915",
            "country_code": "US",
            "telephone_number": "973-233-9559",
            "fax_number": "973-253-9660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Parish Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074704671",
            "country_code": "US",
            "telephone_number": "973-988-2100",
            "fax_number": "973-952-6248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLOU",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA05427500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0415017",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5395305",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0507703000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "830AM1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "830AM2",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3929711",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110076087",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4298741",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K8624",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1945337",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "439953",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

Verify at the official NPI Registry.