Organization Active NPI

Bingru Xie Digestive Diseases Associates Medical PC

Doing business as New Jersey Digestive Disease Associates

  • Gastroenterology Physician
  • Metuchen, NJ
National Provider Identifier
1437638558
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BINGRU XIE DIGESTIVE DISEASES ASSOCIATES MEDICAL PC
Doing business as
New Jersey Digestive Disease Associates
Practice address
211 Bridge St BLDG D
Metuchen, NJ 08840-2254
Phone
(518) 461-7553
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Authorized official

Name
Bingru XieNPI 1487802690
Title
Physician
Phone
(518) 461-7553

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

211 Bridge St BLDG D
Metuchen, NJ 08840-2254

Mailing address

211 Bridge St BLDG D
Metuchen, NJ 08840-2254
Phone (732) 662-5115

Other practice location 1

239 New Rd Ste A106
Parsippany, NJ 07054-5624
Phone (973) 287-7055

Other identifiers 1

IdentifierTypeStateIssuer
327361MedicaidNJ

Other names 1

  • New Jersey Digestive Disease Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181112002507 NJ Part B Supplier - Clinic/Group Practice 1658625538 Receives reassigned benefits from 1 practitioner
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

247 Bridge St
Bldg G
Metuchen, NJ 08840
Phone (732) 662-5114

239 New Rd
Ste A106
Parsippany, NJ 07054
Phone (973) 287-7055

Practitioners & affiliated clinicians

Practitioners 1

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": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1437638558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BRIDGE ST BLDG D",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402254",
            "telephone_number": "732-662-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BRIDGE ST BLDG D",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402254",
            "telephone_number": "518-461-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 New Rd Ste A106",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070545624",
            "country_code": "US",
            "telephone_number": "973-287-7055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BINGRU XIE DIGESTIVE DISEASES ASSOCIATES MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "BINGRU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "518-461-7553"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327361",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Digestive Disease Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.