Active NPI
Gastroenterology Healthcare P.a.
- Gastroenterology Physician
- Verona, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA03690300
- Legal business name
- GASTROENTEROLOGY HEALTHCARE P.A.
- Practice address
- 799 Bloomfield Ave Ste 102
Verona, NJ 07044-1301 - Phone
- (973) 433-7600
- Fax
- (973) 433-7462
- NPI assigned
- Oct 27, 2009
- Last updated
- Nov 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel D Manzi, MD
- Title
- President
- Phone
- (973) 433-7600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA03690300 | NJ | Primary |
Addresses
Primary practice location
799 Bloomfield Ave Ste 102
Verona, NJ 07044-1301
Mailing address
799 Bloomfield Ave Ste 102
Verona, NJ 07044-1301
Phone (973) 433-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095700 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
36 Newark Ave
Ste 216
Belleville, NJ 07109
1 Bay St
Glen Ridge, NJ 07028
Phone (717) 799-7665
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Gastroenterology Physician
- Verona, NJ
- NPI 1487636957
-
- Physician Assistant
- Glen Ridge, NJ
- NPI 1508098765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510531200000",
"number": "1700112737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 BLOOMFIELD AVE STE 102",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441301",
"telephone_number": "973-433-7600",
"fax_number": "973-433-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 BLOOMFIELD AVE STE 102",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441301",
"telephone_number": "973-433-7600",
"fax_number": "973-433-7462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY HEALTHCARE P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-27",
"last_updated": "2017-11-13",
"status": "A",
"authorized_official_last_name": "MANZI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-433-7600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA03690300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2095700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.