Active NPI
Gastrocare LLC
- Gastroenterology Physician
- Mountainside, NJ
National Provider Identifier
1497873244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MA72090
- Legal business name
- GASTROCARE LLC
- Practice address
- 200 Sheffield Street
Suite 213
Mountainside, NJ 07092 - Phone
- (908) 522-1313
- Fax
- (908) 522-1302
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amber Manzoor Khan, MD
- Title
- Physician
- Phone
- (908) 522-1313
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MA72090 | NJ | Primary |
Addresses
Primary practice location
200 Sheffield Street
Suite 213
Mountainside, NJ 07092
Mailing address
200 Sheffield Street
Suite 213
Mountainside, NJ 07092
Phone (908) 522-1313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
200 Sheffield St
Ste 213
Mountainside, NJ 07092
Phone (908) 522-1313
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Bridgewater, NJ
- NPI 1508958471
-
- Specialist
- Rahway, NJ
- NPI 1396793972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1497873244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SHEFFIELD STREET",
"address_2": "SUITE 213",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "07092",
"telephone_number": "908-522-1313",
"fax_number": "908-522-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SHEFFIELD STREET",
"address_2": "SUITE 213",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "07092",
"telephone_number": "908-522-1313",
"fax_number": "908-522-1302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "MANZOOR",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "908-522-1313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "MA72090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountainside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.