Gastroenterology Assoc. of North Jersey

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY ASSOC. OF NORTH JERSEY

Practice address

369 W Blackwell St
Dover, NJ 07801-2560

Phone

(973) 361-7660

Fax

(973) 361-0455

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barry S. Benerofe, M.D.

Title

President

Phone

(973) 361-7660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Eric Krupnick, M.D.

  • Gastroenterology Physician
  • Dover, NJ
  • NPI 1629005566
  Medicare reassignment Care Compare group NPD
• Miroslav Rade Radevic, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1275779894
  Medicare reassignment Care Compare group NPD
• Sergey Rybalov, M.D.

  • Gastroenterology Physician
  • Dover, NJ
  • NPI 1386670552
  Medicare reassignment Care Compare group NPD
• Linjun Xie, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1639242928
  Medicare reassignment NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477599322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-361-7660",
            "fax_number": "973-361-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-361-7660",
            "fax_number": "973-361-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOC. OF NORTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENEROFE",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-361-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "6694004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Adriana Fragoso
• Pablo Fragoso, RPH
• Pamela Gottesman Freedman, M.D.
• Gangemi Chiropractic LLC
• Carmine Joseph Gangemi III, D.C.
• Gretel Marie Gautier-Rivera, RPH
• Vincent Gengaro III, DPT
• Paige Marie Gesicki, LCSW
• Madelyn Getman, RDN, MED
• Neha S Ghogre, PHARMD

• Gastroenterology Physician in Dover, NJ
• Providers in Dover, NJ by specialty
• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.