Jersey Shore Gastoenterology

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MB05159800 Issued in NJ

Legal business name

JERSEY SHORE GASTOENTEROLOGY

Practice address

2500 English Creek Ave
Suite 903
Egg Harbor Township, NJ 08234-5549

Phone

(609) 645-1880

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Joel Krachman

Title

Member

Phone

(609) 645-1880

Specialties & licenses 1

Addresses

Tax ID family

Jersey Shore Gastoenterology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jersey Shore Gastroenterology

  • Non-Pharmacy Dispensing Site
  • Somers Point, NJ
  • NPI 1225580194
  NPD tax ID

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1043741663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "SUITE 903",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "SUITE 903",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-645-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE GASTOENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "KRACHMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-645-1880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MB05159800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly James
• Shawn James
• Je Surgical Assistant
• Kimberly Jelinek
• Mary L. Jennings, APN, C
• Jersey Shore Home Rehabilitation LLC
• Jersey Shore Pain Management
• Tara Jogee, LPC
• Debra M. Joseph, R.D.
• Sara Marie Joseph

• Non-Pharmacy Dispensing Site in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.