Organization Active NPI

Gastroenterology Group of New Jersey PA

  • Gastroenterology Physician
  • Glen Ridge, NJ
National Provider Identifier
1487632436
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY GROUP OF NEW JERSEY PA
Practice address
123 Highland Avenue
Suite 103
Glen Ridge, NJ 07028
Phone
(973) 429-8800
Fax
(973) 748-7076
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Warren Finkelstein, MD
Title
President
Phone
(973) 429-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

123 Highland Avenue
Suite 103
Glen Ridge, NJ 07028

Mailing address

123 Highland Avenue
Suite 103
Glen Ridge, NJ 07028
Phone (973) 429-8800

National Provider Directory

National Provider Directory

Locations

123 Highland Ave
Ste 103
Glen Ridge, NJ 07028
Phone (973) 429-8800

Practitioners & affiliated clinicians

Practitioners 4

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": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1487632436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVENUE",
            "address_2": "SUITE 103",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-429-8800",
            "fax_number": "973-748-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVENUE",
            "address_2": "SUITE 103",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "07028",
            "telephone_number": "973-429-8800",
            "fax_number": "973-748-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY GROUP OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "FINKELSTEIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-429-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.