Gastroenterology Medical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA04429400 Issued in NJ

Legal business name

GASTROENTEROLOGY MEDICAL ASSOCIATES

Practice address

142 Palisade Ave
Suite 201
Jersey City, NJ 07306-1133

Phone

(201) 792-7788

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Port

Title

Delegated Official

Phone

(201) 868-2849

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Jeffrey Mark Raskin, M.D.

  • Gastroenterology Physician
  • North Bergen, NJ
  • NPI 1508858879
  NPD (past)
• Harold George Tepler, M.D.

  • Gastroenterology Physician
  • North Bergen, NJ
  • NPI 1073505376
  NPD (past)
• Linjun Xie, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Eatontown, NJ
  • NPI 1639242928
  NPD (past)
• Wen Fan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1457499543
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649341249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 KENNEDY BLVD",
            "address_2": "SUITE D",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475359",
            "telephone_number": "201-868-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE 201",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-792-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "201-868-2849"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04429400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Garza, LPC
• Gashash Invalid Coach
• Henry Gaspard, M.D.
• Jennifer Gasparino, LSW
• Victoria Gaston
• Hajere Gatollari, DO, MPH
• Cecil Eleazar Gauer, LSW
• Gauthrin LLC (Homewatch CareGivers of Jersey City)
• Marion Gauthrin
• Thomas Reda Gawrgus, RPH

• Specialist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.