Active NPI
North Jersey Gastroenterology Associates, P.a.
- Specialist
- West Orange, NJ
National Provider Identifier
1306862883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA34473
- Legal business name
- NORTH JERSEY GASTROENTEROLOGY ASSOCIATES, P.A.
- Practice address
- 1500 Pleasant Valley Way
Suite 306
West Orange, NJ 07052-2956 - Phone
- (973) 325-5775
- Fax
- (973) 325-5770
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Craig Fiske, M.D.
- Title
- Owner/President
- Phone
- (973) 325-5775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA34473 | NJ | Primary |
Addresses
Primary practice location
1500 Pleasant Valley Way
Suite 306
West Orange, NJ 07052-2956
Mailing address
1500 Pleasant Valley Way
Suite 306
West Orange, NJ 07052-2956
Phone (973) 325-5775
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2939100 | Medicaid | NJ | |
| 654866 | Other | NJ | UNITED HEALTHCARE |
| 0041150 | Other | NJ | AETNA HMO |
| 4093402 | Other | NJ | AETNA |
| 1019473-001 | Other | NJ | CIGNA HMO |
| HUL00021200 | Other | NJ | AMERICHOICE OF NJ |
| 0068449700 | Other | NJ | AMERIHEALTH |
| 80847 | Other | NJ | AMERICHOICE |
| 1072840 | Other | NJ | HORIZON NJ HEALTH |
| BS008 | Other | NJ | OXFORD |
| OK5988 | Other | NJ | HEALTHNET |
| 21626 | Other | NJ | UHP |
| 31D0105815 | Other | NJ | CLIA # |
Other names 1
- North Jersey Gastroenterology Associates, P.A.
National Provider Directory
National Provider DirectoryLocations
1500 Pleasant Valley Way
Ste 306
West Orange, NJ 07052
Phone (973) 325-5775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467849600000",
"number": "1306862883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY",
"address_2": "SUITE 306",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "973-325-5775",
"fax_number": "973-325-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PLEASANT VALLEY WAY",
"address_2": "SUITE 306",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522956",
"telephone_number": "973-325-5775",
"fax_number": "973-325-5770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH JERSEY GASTROENTEROLOGY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2016-07-07",
"status": "A",
"authorized_official_last_name": "FISKE",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "973-325-5775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA34473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2939100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "654866",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0041150",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4093402",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "1019473-001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE OF NJ",
"identifier": "HUL00021200",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0068449700",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "80847",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1072840",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "BS008",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OK5988",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP",
"identifier": "21626",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA #",
"identifier": "31D0105815",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Jersey Gastroenterology Associates, P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.