Community Gastroeterology, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MA052242 Issued in NJ

Legal business name

COMMUNITY GASTROETEROLOGY, PA

Practice address

9 Hospital Dr Ste 15a
Toms River, NJ 08755-6425

Phone

(732) 505-4420

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chakrapani Prakash, M.D.

Title

Sole Proprietor

Phone

(732) 505-4420

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336280692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE 15A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-505-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE 15A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-505-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY GASTROETEROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRAKASH",
        "authorized_official_first_name": "CHAKRAPANI",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "732-505-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA052242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Comerford, APN
• Community Angels L.L.C.
• Community Emc LLC
• Community Emergency Medical Associates LLC
• Community Foot & Ankle Center LLC
• Community Medical Center Inc
• Community Medical Center Inc
• Community Medical Center Inc
• Community Options Enterprises, Inc.
• Community Options, Inc

• All providers in Toms River, NJ
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.