Southern Gastro Associates of New Jersey LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA06255100 Issued in NJ

Legal business name

SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC

Practice address

2005 Kings Hwy
Swedesboro, NJ 08085-3217

Phone

(856) 467-0390

Fax

(856) 467-9747

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kirit I Chhaya, MDNPI 1104891118

Title

Partner

Phone

(856) 467-0390

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southern Gastroenterology Associates of NJ LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirit I Chhaya, MD

  • Gastroenterology Physician
  • Swedesboro, NJ
  • NPI 1104891118
  Medicare reassignment NPD Authorized official
• Tom A Tassakis, MD

  • Gastroenterology Physician
  • Vineland, NJ
  • NPI 1689760951
  Medicare reassignment NPD
• John T Barbagiovanni, DO

  • Gastroenterology Physician
  • Quincy, IL
  • NPI 1437138781
  NPD (past)
• Kelly Marie Schiavone, LCSW

  • Clinical Social Worker
  • Ambler, PA
  • NPI 1770715732
  NPD (past)
• Nirmala Sivaprakasapillai, MD

  • Gastroenterology Physician
  • Tarpon Springs, FL
  • NPI 1477729408
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1811977705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080850062",
            "telephone_number": "856-467-0390",
            "fax_number": "856-467-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KINGS HWY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853217",
            "telephone_number": "856-467-0390",
            "fax_number": "856-467-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN GASTRO ASSOCIATES OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "CHHAYA",
        "authorized_official_first_name": "KIRIT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-467-0390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA06255100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2336",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7281803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Gastroenterology Associates of NJ LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rick Shinholster, MS, BSL
• Joy Alicia Skow
• Kieran Thomas Slattery, MA
• Renee Slusar
• Dean Justin Sosa, PT, DPT
• Victoria Ann Speakman
• Nazirah Spence
• Sean Ross Sussman, DO
• Swedesboro Community Chiropractic, LLC
• Swedesboro Family Pharmacy LLC

• Gastroenterology Physician in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.