NPIMap

Organization Active NPI

Red Bank Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Red Bank, NJ
National Provider Identifier
1336225168
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RED BANK GASTROENTEROLOGY ASSOCIATES, PA
Practice address
365 Broad St
Red Bank, NJ 07701-2150
Phone
(732) 842-4294
Fax
(732) 530-1497
NPI assigned
Oct 27, 2006
Last updated
Jan 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Ms. Jacqueline Herro
Title
HR Benefits and Compensation Spclst
Phone
(732) 842-4294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

365 Broad St
Red Bank, NJ 07701-2150

Mailing address

365 Broad St
Red Bank, NJ 07701-2150
Phone (732) 842-4294

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0941447Red Bank Gastroenterology Associates PA365 Broad Street, Red Bank, NJ 07701Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1336225168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012150",
            "telephone_number": "732-842-4294",
            "fax_number": "732-530-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012150",
            "telephone_number": "732-842-4294",
            "fax_number": "732-530-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BANK GASTROENTEROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "HERRO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "HR BENEFITS AND COMPENSATION SPCLST",
        "authorized_official_telephone_number": "732-842-4294",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.