New Jersey Advanced Gastroenterology, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07916100 Issued in NJ

Legal business name

NEW JERSEY ADVANCED GASTROENTEROLOGY, LLC

Practice address

1225 McBride Ave
Suite 200
Woodland Park, NJ 07424-2540

Phone

(973) 638-1740

NPI assigned

Mar 11, 2011

Last updated

Dec 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sohail N Shaikh, MD

Title

Physician

Phone

(973) 638-1740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1447558655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242540",
            "telephone_number": "973-638-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242540",
            "telephone_number": "973-638-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY ADVANCED GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-638-1740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07916100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.