NPIMap

Organization Active NPI

New Jersey Digestive Disease Associates, PC

  • Gastroenterology Physician
  • Clark, NJ
National Provider Identifier
1639495187
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NEW JERSEY DIGESTIVE DISEASE ASSOCIATES, PC
Practice address
999 Raritan Rd
Clark, NJ 07066-1757
Phone
(732) 499-8000
Fax
(732) 396-9413
NPI assigned
Apr 8, 2010
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Ms. Liza Macalincag
Title
Practice Adminstrator
Phone
(732) 499-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

999 Raritan Rd
Clark, NJ 07066-1757

Mailing address

999 Raritan Rd
Clark, NJ 07066-1757
Phone (732) 499-8000

National Provider Directory

National Provider Directory

Locations

116 Millburn Ave
Ste 211
Millburn, NJ 07041
Phone (973) 376-5155

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": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1639495187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661757",
            "telephone_number": "732-499-8000",
            "fax_number": "732-396-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661757",
            "telephone_number": "732-499-8000",
            "fax_number": "732-396-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY DIGESTIVE DISEASE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "MACALINCAG",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
        "authorized_official_telephone_number": "732-499-8000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.