NPIMap

Organization Active NPI

Essex Gastro Associates, PA

  • Gastroenterology Physician
  • Newark, NJ
National Provider Identifier
1114933926
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24MA04217500 Issued in NJ
Legal business name
ESSEX GASTRO ASSOCIATES, PA
Practice address
275 Chestnut St
Newark, NJ 07105-1570
Phone
(973) 589-5545
Fax
(973) 589-0073
NPI assigned
Aug 1, 2006
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Firpo Eugenio Guerrero, M.D.NPI 1518973742
Title
President
Phone
(973) 589-5545

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 24MA04217500 NJ Primary

Addresses

Primary practice location

275 Chestnut St
Newark, NJ 07105-1570

Mailing address

275 Chestnut St
Newark, NJ 07105-1570
Phone (973) 589-5545

Other identifiers 1

IdentifierTypeStateIssuer
0036633MedicaidNJ

Other names 1

  • FIRPO GUERRERO, MD, PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831000181 NJ Part B Supplier - Clinic/Group Practice 2668447939 Receives reassigned benefits from 10 practitioners
Practice locations: Newark, NJ

National Provider Directory

National Provider Directory

Locations

275 Chestnut St
Newark, NJ 07105
Phone (973) 274-1901

275 Chestnut St
Ste 6
Newark, NJ 07105
Phone (609) 654-6525

Practitioners & affiliated clinicians

Practitioners 10

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1114933926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051570",
            "telephone_number": "973-589-5545",
            "fax_number": "973-589-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051570",
            "telephone_number": "973-589-5545",
            "fax_number": "973-589-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX GASTRO ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "FIRPO",
        "authorized_official_middle_name": "EUGENIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-589-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "24MA04217500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036633",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRPO GUERRERO, MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.