Organization Active NPI

Essex Gastroenterology Associates LLC

  • Specialist
  • Belleville, NJ
National Provider Identifier
1881665305
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0400087929 Issued in NJ
Legal business name
ESSEX GASTROENTEROLOGY ASSOCIATES LLC
Practice address
5 Franklin Ave
Suite 109
Belleville, NJ 07109-3532
Phone
(973) 759-7240
Fax
(973) 759-7243
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Mrs. Betsy Guerrero
Title
Practice Administrator
Phone
(973) 759-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0400087929 NJ Primary

Addresses

Primary practice location

5 Franklin Ave
Suite 109
Belleville, NJ 07109-3532

Mailing address

5 Franklin Ave
Suite 109
Belleville, NJ 07109-3532
Phone (973) 759-7240

Other identifiers 1

IdentifierTypeStateIssuer
0070823MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804001134 NJ Part B Supplier - Clinic/Group Practice 6800825399 Receives reassigned benefits from 6 practitioners
Practice locations: Belleville, NJ; Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1042647Essex Gastroenterology Associates5 Franklin Avenue, Belleville, NJ 07109ComplianceFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

655 Kearny Ave
Kearny, NJ 07032
Phone (201) 681-1800

Practitioners & affiliated clinicians

Practitioners 6

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1881665305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 109",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-759-7240",
            "fax_number": "973-759-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 109",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-759-7240",
            "fax_number": "973-759-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX GASTROENTEROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "973-759-7240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "0400087929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070823",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.