NPIMap

Individual provider Active NPI

Augustine Tawadros

  • Gastroenterology Physician
  • Freehold, NJ
National Provider Identifier
1508362021
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA11081500 Issued in NJ
Practice address
222 Schanck Road Suite 302
Freehold, NJ 07728-1928
NPI assigned
Apr 3, 2018
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA11081500 NJ Primary

Addresses

Primary practice location

222 Schanck Road Suite 302
Freehold, NJ 07728-1928

Mailing address

1309 Juniper CT
North Brunswick, NJ 08902-5212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320001580 NJ Practitioner - Internal MedicinePractitioner - Gastroenterology 9234576760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

222 Schanck Rd
Suite 302
Freehold, NJ 07728-2974
Phone (732) 222-3805

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 714-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 25, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 25, 2024 Accepting new patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

222 Schanck Rd
Freehold, NJ 07728
Phone (732) 431-3373

222 Schanck Rd
Ste 302
Freehold, NJ 07728
Phone (732) 577-1999

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

100 Commons Way
Ste 150
Holmdel, NJ 07733
Phone (732) 450-2925

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

2 Hospital Plz
Ste 340
Old Bridge, NJ 08857
Phone (732) 360-3520

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: atawadros526308@direct.ahsys.org
  • Direct secure messaging: augustine.tawadros.1@24721.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1508362021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 JUNIPER CT",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SCHANCK ROAD SUITE 302",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWADROS",
        "first_name": "AUGUSTINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA11081500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.