Organization Active NPI

Northeast Gastroenterology Associates Inc

  • Gastroenterology Physician
  • Phila, PA
National Provider Identifier
1801926209
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
NORTHEAST GASTROENTEROLOGY ASSOCIATES INC
Practice address
2000 Grant Ave
Suite 103
Phila, PA 19115-4378
Phone
(215) 333-1776
Fax
(215) 333-0653
NPI assigned
Mar 6, 2007
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Eugene M Mayer, MDNPI 1912062720
Title
President
Phone
(215) 333-1776

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2000 Grant Ave
Suite 103
Phila, PA 19115-4378

Mailing address

2000 Grant Ave
Suite 103
Phila, PA 19115-4378
Phone (215) 333-1776

National Provider Directory

National Provider Directory

Locations

7901 Bustleton Ave
Ste 307
Philadelphia, PA 19152
Phone (215) 333-1776

205 Newtown Rd
Ste 213
Warminster, PA 18974
Phone (215) 333-1776

Practitioners & affiliated clinicians

Practitioners 7

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1801926209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GRANT AVE",
            "address_2": "SUITE 103",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191154378",
            "telephone_number": "215-333-1776",
            "fax_number": "215-333-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GRANT AVE",
            "address_2": "SUITE 103",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191154378",
            "telephone_number": "215-333-1776",
            "fax_number": "215-333-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GASTROENTEROLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-333-1776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.