NPIMap

Organization Active NPI

Gastoenterology of North Essex PC

  • Gastroenterology Physician
  • Bloomfield, NJ
National Provider Identifier
1447497656
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA48682 Issued in NJ
Legal business name
GASTOENTEROLOGY OF NORTH ESSEX PC
Practice address
199 Broad St
Ste 1a
Bloomfield, NJ 07003-2635
Phone
(973) 680-5500
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Dr. Louis John Celebre, M.D.NPI 1871688440
Title
President
Phone
(973) 680-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA48682 NJ Primary

Addresses

Primary practice location

199 Broad St
Ste 1a
Bloomfield, NJ 07003-2635

Mailing address

199 Broad St
Suite 1a
Bloomfield, NJ 07003-2635
Phone (973) 680-5500

Other identifiers 1

IdentifierTypeStateIssuer
1835301MedicaidNJ

National Provider Directory

National Provider Directory

Locations

199 Broad St
Ste 1A
Bloomfield, NJ 07003
Phone (973) 680-5500

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1447497656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BROAD ST",
            "address_2": "SUITE 1A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032635",
            "telephone_number": "973-680-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 BROAD ST",
            "address_2": "STE 1A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032635",
            "telephone_number": "973-680-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTOENTEROLOGY OF NORTH ESSEX PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "CELEBRE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-680-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA48682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1835301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.