Teaneck Gastroenterology&Endoscopy Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TEANECK GASTROENTEROLOGY&ENDOSCOPY CENTER

Practice address

1086 Teaneck Rd
Suite 3B
Teaneck, NJ 07666-4854

Phone

(201) 837-7728

Fax

(201) 578-1089

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Dixon

Title

Billing Manager

Phone

(201) 837-7728

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Teaneck Gastroenterology and Endoscopy CenterCCN 31C0001067

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1326136177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD",
            "address_2": "SUITE 3B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664854",
            "telephone_number": "201-837-7728",
            "fax_number": "201-578-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD",
            "address_2": "SUITE 3B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664854",
            "telephone_number": "201-837-7728",
            "fax_number": "201-578-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEANECK GASTROENTEROLOGY&ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-837-7728",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teaneck Board of Education
• Teaneck Counseling Associates
• Teaneck Dentist LLC
• Teaneck DME Care Supply LLC
• Teaneck Family Dental LLC
• Teaneck Hospitalists, PA
• Teaneck Orthopaedic Physical Therapy
• Teaneck Pediatric Associates, PA
• Teaneck Physical Therapy and Pain Management Inc
• Teaneck Podiatry,LLC

• Ambulatory Surgical Clinic/Center in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.