NPIMap

Organization Active NPI

The Center for Gastroenterology and Liver Disorders LLC

  • Gastroenterology Physician
  • Secaucus, NJ
National Provider Identifier
1497874358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA50168 Issued in NJ
Legal business name
THE CENTER FOR GASTROENTEROLOGY AND LIVER DISORDERS LLC
Practice address
255 State RT 3
Suite 210
Secaucus, NJ 07094-3857
Phone
(201) 866-2400
Fax
(201) 866-0444
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wayne D Siegel, MDNPI 1063409191
Title
President
Phone
(201) 866-2400

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MA50168 NJ Primary

Addresses

Primary practice location

255 State RT 3
Suite 210
Secaucus, NJ 07094-3857

Mailing address

255 State RT 3
Suite 210
Secaucus, NJ 07094-3857
Phone (201) 866-2400

National Provider Directory

National Provider Directory

Locations

255 State Rt 3
Ste 210
Secaucus, NJ 07094
Phone (201) 866-2400

Practitioners & affiliated clinicians

Practitioners 3

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497874358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 STATE RT 3",
            "address_2": "SUITE 210",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943857",
            "telephone_number": "201-866-2400",
            "fax_number": "201-866-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 STATE RT 3",
            "address_2": "SUITE 210",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943857",
            "telephone_number": "201-866-2400",
            "fax_number": "201-866-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR GASTROENTEROLOGY AND LIVER DISORDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-866-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA50168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.