Organization Active NPI

Twin Rivers Gastroenterology Center, Inc

  • Gastroenterology Physician
  • Easton, PA
National Provider Identifier
1851343784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TWIN RIVERS GASTROENTEROLOGY CENTER, INC
Practice address
20 Community Dr
Easton, PA 18045-2658
Phone
(610) 258-6635
Fax
(610) 258-2879
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shanker Mukherjee, M.D.
Title
Ceo
Phone
(610) 258-6635

Specialties & licenses 1

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

Addresses

Primary practice location

20 Community Dr
Easton, PA 18045-2658

Mailing address

20 Community Dr
Easton, PA 18045-2658
Phone (610) 258-6635

Other identifiers 3

IdentifierTypeStateIssuer
0497999OtherPAAETNA
6754805MedicaidNJ
02300700OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

755 Memorial Pkwy
Ste 201
Phillipsburg, NJ 08865
Phone (484) 503-0055

175 E Brown St
Ste 115
East Stroudsburg, PA 18301
Phone (570) 420-9720

41 Corporate Dr
Ste 101
Easton, PA 18045
Phone (610) 258-6635

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851343784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452658",
            "telephone_number": "610-258-6635",
            "fax_number": "610-258-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452658",
            "telephone_number": "610-258-6635",
            "fax_number": "610-258-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVERS GASTROENTEROLOGY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "SHANKER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-258-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0497999",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6754805",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02300700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.