Organization Active NPI

Gordons Corner Medical Group,PC

  • Internal Medicine Physician
  • Manalapan, NJ
National Provider Identifier
1841487196
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GORDONS CORNER MEDICAL GROUP,PC
Practice address
225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3342
Phone
(732) 972-2264
Fax
(732) 446-5723
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Alan Ralph Zbik, MD
Title
Owner
Phone
(732) 972-2264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3342

Mailing address

225 Gordons Corner Rd
Suite 2a
Manalapan, NJ 07726-3342
Phone (732) 972-2264

Other identifiers 1

IdentifierTypeStateIssuer
1184727638OtherNJINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

225 Gordons Corner Rd
Ste 2A
Manalapan, NJ 07726
Phone (732) 972-2264

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1841487196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD",
            "address_2": "SUITE 2A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263342",
            "telephone_number": "732-972-2264",
            "fax_number": "732-446-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD",
            "address_2": "SUITE 2A",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263342",
            "telephone_number": "732-972-2264",
            "fax_number": "732-446-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDONS CORNER MEDICAL GROUP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "ZBIK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-972-2264",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184727638",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.