Individual provider Active NPI

Beverly Cornel-Avendano, M.D.

  • Gastroenterology Physician
  • Hazlet, NJ
National Provider Identifier
1255357349
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA64381 Issued in NJ
Practice address
233 Middle Rd
Suite 1
Hazlet, NJ 07730-1957
Phone
(732) 888-0411
Fax
(732) 888-3909
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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 MA64381 NJ Primary

Addresses

Primary practice location

233 Middle Rd
Suite 1
Hazlet, NJ 07730-1957

Mailing address

233 Middle Rd
Suite 1
Hazlet, NJ 07730-1957
Phone (732) 888-0411

Other names 1

  • Beverly C Avendano Other name

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
I20051013000646 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 4688699184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

875 Poole Ave
Hazlet, NJ 07730-2041
Phone (732) 888-0411

Hospital & facility affiliations

  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA64381NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Specialists of Central Jersey P.C. Gastroenterology CurrentSince Feb 1, 2004 Accepting new patients
A. F. Naqvi, M.D., LLC Past Accepting new patients

Locations

233 Middle Rd
Ste 1
Hazlet, NJ 07730
Phone (732) 203-0293

875 Poole Ave
Hazlet, NJ 07730
Phone (732) 203-0293

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDGBCA/Endpoint/JDGBCA

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 and National Provider Directory roles.

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1255357349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MIDDLE RD",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301957",
            "telephone_number": "732-888-0411",
            "fax_number": "732-888-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MIDDLE RD",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301957",
            "telephone_number": "732-888-0411",
            "fax_number": "732-888-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEL-AVENDANO",
        "first_name": "BEVERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA64381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "AVENDANO",
            "middle_name": "C",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.