NPIMap

Organization Active NPI

The Gastroenterology Group of Northern New Jersey,LLC

  • Gastroenterology Physician
  • Englewood, NJ
National Provider Identifier
1073944005
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA03997000 Issued in NJ
Legal business name
THE GASTROENTEROLOGY GROUP OF NORTHERN NEW JERSEY,LLC
Practice address
420 Grand Ave
Suite 101
Englewood, NJ 07631-4152
Phone
(201) 569-7044
Fax
(201) 569-1999
NPI assigned
Dec 2, 2013
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Dr. Ivan A Friedrich, M.D.NPI 1306890165
Title
Physician/Board of Governors
Phone
(201) 569-7044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA03997000 NJ Primary

Addresses

Primary practice location

420 Grand Ave
Suite 101
Englewood, NJ 07631-4152

Mailing address

420 Grand Ave
Suite 101
Englewood, NJ 07631
Phone (201) 569-7044

National Provider Directory

National Provider Directory

Locations

420 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 569-7044

140 Sylvan Ave
Ste 101
Englewood Cliffs, NJ 07632
Phone (201) 874-2811

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1073944005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GRAND AVE",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-569-7044",
            "fax_number": "201-569-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GRAND AVE",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314152",
            "telephone_number": "201-569-7044",
            "fax_number": "201-569-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GASTROENTEROLOGY GROUP OF NORTHERN NEW JERSEY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/BOARD OF GOVERNORS",
        "authorized_official_telephone_number": "201-569-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA03997000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.