Organization Active NPI

Advanced Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Howell, NJ
National Provider Identifier
1790910487
Registry record updated May 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA05484900 Issued in NJ
Legal business name
ADVANCED GASTROENTEROLOGY ASSOCIATES, LLC
Practice address
3701 US Highway 9
Howell, NJ 07731-3396
Phone
(732) 972-2220
NPI assigned
May 25, 2009
Last updated
May 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2009

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

Authorized official

Name
Michael Tendler, MD
Title
President
Phone
(732) 972-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA05484900 NJ Primary

Addresses

Primary practice location

3701 US Highway 9
Howell, NJ 07731-3396

Mailing address

PO Box 309
Manalapan, NJ 07726-0309
Phone (732) 972-2220

National Provider Directory

National Provider Directory

Locations

475 Highway 520
Ste 201
Marlboro, NJ 07746
Phone (732) 370-2220

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243209600000",
    "number": "1790910487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077260309",
            "telephone_number": "732-972-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313396",
            "telephone_number": "732-972-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GASTROENTEROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-05-25",
        "status": "A",
        "authorized_official_last_name": "TENDLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-972-2220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA05484900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; 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.