NPIMap

Organization Active NPI

NJ-Ny Gastroenterology Associate

  • Specialist
  • Metuchen, NJ
National Provider Identifier
1548655160
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA09606000 Issued in NJ
Legal business name
NJ-NY GASTROENTEROLOGY ASSOCIATE
Practice address
1 Bridge St
211 Building D
Metuchen, NJ 08840-2273
Phone
(732) 902-2821
Fax
(732) 902-2822
NPI assigned
Mar 31, 2015
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Winnie Chan
Title
Office Manager
Phone
(718) 567-8808

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 25MA09606000 NJ Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 25MA09610400 NJ
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 25MA08744000 NJ

Addresses

Primary practice location

1 Bridge St
211 Building D
Metuchen, NJ 08840-2273

Mailing address

730 58TH St
Brooklyn, NY 11220-3917
Phone (718) 567-8808

National Provider Directory

National Provider Directory

Locations

1 Bridge St
Bldg D
Metuchen, NJ 08840
Phone (732) 902-2821

Practitioners & affiliated clinicians

Practitioners 6

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": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1548655160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203917",
            "telephone_number": "718-567-8808",
            "fax_number": "718-567-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST",
            "address_2": "211 BUILDING D",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402273",
            "telephone_number": "732-902-2821",
            "fax_number": "732-902-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ-NY GASTROENTEROLOGY ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-567-8808"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09606000",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09610400",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08744000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.