Organization Active NPI

Gastroenterology Consultants of North Jersey PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1780846733
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25 MA06159800 Issued in NJ
Legal business name
GASTROENTEROLOGY CONSULTANTS OF NORTH JERSEY PC
Practice address
2829 Ocean Parkway
Brooklyn, NY 11235
Phone
(718) 743-8668
Fax
(718) 743-9472
NPI assigned
Jul 1, 2008
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Mrs. Olena Tokar
Title
Office Manager
Phone
(201) 791-7760

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 182511-1 NY
Specialist 174400000X 25 MA06159800 NJ Primary

Addresses

Primary practice location

2829 Ocean Parkway
Brooklyn, NY 11235

Mailing address

2829 Ocean Parkway
Brooklyn, NY 11235
Phone (718) 743-8668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090313000218 NJ Part B Supplier - Clinic/Group Practice 4880750066 Receives reassigned benefits from 5 practitioners
Practice locations: Fair Lawn, NJ
O20091028000558 NY Part B Supplier - Clinic/Group Practice 4880750066 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3800 S Ocean Dr
Hollywood, FL 33019
Phone (201) 791-7760

3800 S Ocean Dr
Ste G3
Hollywood, FL 33019
Phone (617) 548-7160

Practitioners & affiliated clinicians

Practitioners 5

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": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1780846733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 OCEAN PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-743-8668",
            "fax_number": "718-743-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 OCEAN PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-743-8668",
            "fax_number": "718-743-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY CONSULTANTS OF NORTH JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "TOKAR",
        "authorized_official_first_name": "OLENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-791-7760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "182511-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25 MA06159800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.