Organization Active NPI

Elite Gastroenterology LLC

  • Gastroenterology Physician
  • West Windsor, NJ
National Provider Identifier
1285459834
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ELITE GASTROENTEROLOGY LLC
Practice address
196 Princeton Hightstown Rd
BLDG 1B
West Windsor, NJ 08550
Phone
(718) 605-5000
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Kiranpreet Parmar, MDNPI 1396735874
Title
Owner
Phone
(718) 605-5000

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 Primary

Addresses

Primary practice location

196 Princeton Hightstown Rd
BLDG 1B
West Windsor, NJ 08550

Mailing address

PO Box 413
Holmdel, NJ 07733-0413

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826005320 NJ Part B Supplier - Clinic/Group Practice 8123528791 Receives reassigned benefits from 1 practitioner
Practice locations: Iselin, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1285459834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PRINCETON HIGHTSTOWN RD",
            "address_2": "BLDG 1B",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "718-605-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "KIRANPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-605-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.