NPIMap

Organization Active NPI

Gastroenterology Consultants of South Jersey PC

  • Specialist
  • Lumberton, NJ
National Provider Identifier
1609917525
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GASTROENTEROLOGY CONSULTANTS OF SOUTH JERSEY PC
Practice address
693 Main St
Building a Suite 2
Lumberton, NJ 08048-5043
Phone
(609) 265-1700
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Jeffrey J Kutscher, MD
Title
Owner
Phone
(609) 265-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

693 Main St
Building a Suite 2
Lumberton, NJ 08048-5043

Mailing address

693 Main Street
PO Box 70 Building a Suite 2
Lumberton, NJ 08048
Phone (609) 265-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001201 NJ Part B Supplier - Clinic/Group Practice 3779564935 Receives reassigned benefits from 13 practitioners
Practice locations: Lumberton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1609917525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 MAIN STREET",
            "address_2": "PO BOX 70 BUILDING A SUITE 2",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "08048",
            "telephone_number": "609-265-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 MAIN ST",
            "address_2": "BUILDING A SUITE 2",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485043",
            "telephone_number": "609-265-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS OF SOUTH JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "KUTSCHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-265-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.

Verify at the official NPI Registry.