Gastroenterology Associates of New Jersey, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY, LLC

Practice address

1130 McBride Ave
Woodland Park, NJ 07424-3806

Phone

(973) 812-1400

Fax

(973) 812-1404

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Rachel Andreano

Title

Credentialing Specialist

Phone

(973) 785-2277

Specialties & licenses 5

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations (25 of 42)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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

• Rini Abraham, M.D.

  • Gastroenterology Physician
  • Montclair, NJ
  • NPI 1285893321

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Aakash Aggarwal, MD

  • Gastroenterology Physician
  • Hackensack, NJ
  • NPI 1942597588

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Michelle Rapacon Baker, M.D., PH.D.

  • Anesthesiology Physician
  • Parsippany, NJ
  • NPI 1164453049

  Anesthesiology, NJ

  Medicare reassignment Care Compare group NPD
• Oren Bernheim, M.D.

  • Gastroenterology Physician
  • Wayne, NJ
  • NPI 1639338783

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Benjamin Biederman, MD

  • Gastroenterology Physician
  • Montclair, NJ
  • NPI 1518428069

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Robert Howard Bleicher, M.D.

  • Gastroenterology Physician
  • Wayne, NJ
  • NPI 1467442426

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Marina Boukiia, M.D.

  • Anesthesiology Physician
  • Totowa, NJ
  • NPI 1588667711

  Anesthesiology, NJ

  Medicare reassignment Care Compare group NPD
• Andrew Scott Boxer, M.D.

  • Gastroenterology Physician
  • Verona, NJ
  • NPI 1225294499

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Alyssa Cappolla Parrish

  • Nurse Practitioner
  • Hackensack, NJ
  • NPI 1710467709

  NJ, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Peter Caride, MD

  • Gastroenterology Physician
  • North Bergen, NJ
  • NPI 1689784381

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Neetu Chahil, MD

  • Gastroenterology Physician
  • Hackensack, NJ
  • NPI 1417118571

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD
• Bonnie K Cheng, M.D.

  • Gastroenterology Physician
  • Wayne, NJ
  • NPI 1053301010

  Gastroenterology, NJ

  Medicare reassignment Care Compare group NPD

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

CLIA laboratory certificates

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1497932271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243806",
            "telephone_number": "973-812-1400",
            "fax_number": "973-812-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243806",
            "telephone_number": "973-812-1400",
            "fax_number": "973-812-1404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Park St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070425915",
            "country_code": "US",
            "telephone_number": "973-233-9559",
            "fax_number": "973-233-9660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 E Ridgewood Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074503915",
            "country_code": "US",
            "telephone_number": "201-523-4141",
            "fax_number": "201-857-8645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Ringwood",
            "state": "NJ",
            "postal_code": "074562039",
            "country_code": "US",
            "telephone_number": "973-785-0102",
            "fax_number": "973-785-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Union Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070701272",
            "country_code": "US",
            "telephone_number": "201-842-0020",
            "fax_number": "201-842-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Browertown Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "NJ",
            "postal_code": "074242610",
            "country_code": "US",
            "telephone_number": "973-812-8120",
            "fax_number": "973-812-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Hamburg Tpke Ste 203",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702160",
            "country_code": "US",
            "telephone_number": "862-336-9988",
            "fax_number": "862-336-9987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NJ",
            "postal_code": "075062506",
            "country_code": "US",
            "telephone_number": "973-470-0101",
            "fax_number": "973-777-3024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Browertown Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "NJ",
            "postal_code": "074242610",
            "country_code": "US",
            "telephone_number": "973-785-0102",
            "fax_number": "973-785-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Clifton Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132724",
            "country_code": "US",
            "telephone_number": "973-458-0408",
            "fax_number": "973-405-6564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1195 Clifton Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133621",
            "country_code": "US",
            "telephone_number": "973-785-0102",
            "fax_number": "973-785-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15-01 Broadway Ste 34",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074106006",
            "country_code": "US",
            "telephone_number": "201-794-6808",
            "fax_number": "201-797-6238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Clifton Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133518",
            "country_code": "US",
            "telephone_number": "973-471-8200",
            "fax_number": "973-471-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 McBride Ave Ste D212",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "NJ",
            "postal_code": "074242569",
            "country_code": "US",
            "telephone_number": "973-890-1303",
            "fax_number": "973-890-5609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "764 Main St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032640",
            "country_code": "US",
            "telephone_number": "973-812-8120",
            "fax_number": "973-812-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "468 Parish Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074704671",
            "country_code": "US",
            "telephone_number": "973-988-2100",
            "fax_number": "973-952-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1567 Palisade Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070246923",
            "country_code": "US",
            "telephone_number": "201-585-2388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Post Rd Ste M7",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074361615",
            "country_code": "US",
            "telephone_number": "973-812-8120",
            "fax_number": "973-812-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Changebridge Rd Bldg C3",
            "address_purpose": "LOCATION",
            "city": "Montville",
            "state": "NJ",
            "postal_code": "070459112",
            "country_code": "US",
            "telephone_number": "973-785-0102",
            "fax_number": "973-785-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Parkway Ste 10",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441060",
            "country_code": "US",
            "telephone_number": "862-336-9988",
            "fax_number": "862-336-9987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Clifton Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133522",
            "country_code": "US",
            "telephone_number": "973-614-9700",
            "fax_number": "973-614-9702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 Bloomfield Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070441301",
            "country_code": "US",
            "telephone_number": "973-433-7600",
            "fax_number": "973-433-7462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 1st St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076012044",
            "country_code": "US",
            "telephone_number": "201-488-3003",
            "fax_number": "201-957-7227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Route 23",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074707526",
            "country_code": "US",
            "telephone_number": "973-633-1484",
            "fax_number": "973-633-7980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Kinderkamack Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "River Edge",
            "state": "NJ",
            "postal_code": "076611931",
            "country_code": "US",
            "telephone_number": "201-489-7772",
            "fax_number": "201-489-2544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 US Highway 46 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mine Hill",
            "state": "NJ",
            "postal_code": "078033163",
            "country_code": "US",
            "telephone_number": "973-366-7330",
            "fax_number": "973-306-3043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ANDREANO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "973-785-2277"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175714",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP NUMBER",
            "identifier": "1945759",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP NUMBER",
            "identifier": "3533132000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP NUMBER",
            "identifier": "9341206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Woodland Park, NJ
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.