Atlantic Gastroenterology Associates, P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ATLANTIC GASTROENTEROLOGY ASSOCIATES, P.A.

Practice address

3205 Fire Rd
Suite 4
Egg Harbor Township, NJ 08234-5857

Phone

(609) 407-1220

Fax

(609) 407-0220

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Barry Paul Kaufman, MD

Title

President

Phone

(609) 407-1220

Specialties & licenses 1

Addresses

Other identifiers 10

Practitioners 2

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

• Lee Paul Rosky, MD

  • Gastroenterology Physician
  • Egg Harbor Township, NJ
  • NPI 1437227360
  NPD
• Sally M Sikora, MSN RN CNS C

  • Gastroenterology Physician
  • Egg Harbor Township, NJ
  • NPI 1952506065
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1144240482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 FIRE RD",
            "address_2": "SUITE 4",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345857",
            "telephone_number": "609-407-1220",
            "fax_number": "609-407-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 FIRE RD",
            "address_2": "SUITE 4",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345857",
            "telephone_number": "609-407-1220",
            "fax_number": "609-407-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC GASTROENTEROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-407-1220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN CHIESA INDIVIDUAL TI",
            "identifier": "222485119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN J SANTORO STATE LICE",
            "identifier": "25MB03629600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEE P ROSKY STATE LICENSE",
            "identifier": "25MA01893500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2959305",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GARY A ROSMAN STATE LICEN",
            "identifier": "25MA04967400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN CHIESA STATELICENSE",
            "identifier": "25MB02888400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOWARD N GARSON STATE LIC",
            "identifier": "25MA05301400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARRY P KAUFMAN STATE LIC",
            "identifier": "25MA03429200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOSEPH L SPAAR STATE LICE",
            "identifier": "25MA03908500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIKHILESH D MEHTA STATE L",
            "identifier": "25MA03637500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.