JERSEY SHORE GASTOENTEROLOGY
NPI 1043741663
Non-Pharmacy Dispensing Site in Egg Harbor Township, NJ

Active since March 24, 2017CLIA 31D0932894 · Waiver
2500 ENGLISH CREEK AVE, SUITE 903, EGG HARBOR TOWNSHIP, NJ 08234(609) 645-1880 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jersey Shore Gastoenterology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERSEY SHORE GASTOENTEROLOGY (NPI 1043741663) is a healthcare organization registered as a non-pharmacy dispensing site in Egg Harbor Township, New Jersey and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Joel Krachman, Member, as its authorized official.

NPPES Registry Identity

NPI1043741663
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJERSEY SHORE GASTOENTEROLOGY
Location Address2500 ENGLISH CREEK AVE, SUITE 903Egg Harbor Township, NJ 08234-5549
Mailing Address2500 English Creek Ave, Suite 903Egg Harbor Township, NJ 08234-5549
Organization SubpartNo
Authorized OfficialJoel KrachmanMember · (609) 645-1880
Enumeration DateMarch 24, 2017
NPI 1043741663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in NJ · 25MB05159800
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2500 ENGLISH CREEK AVE, Egg Harbor Township, NJ 08234

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0932894

Jersey Shore Gastroenterology Assoc PA · Egg Harbor Township, NJ
Active · expires Sep 1, 2027
CLIA Number31D0932894
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorPaul Ljubich MD
Laboratory Phone(609) 645-1880
Laboratory LocationJersey Shore Gastroenterology Assoc PA2500 English Creek Avenue Suite 903, Egg Harbor Township, NJ 08234
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
2500 ENGLISH CREEK AVE, BUILDING D
EGG HARBOR TOWNSHIP, NJ 08234
Nurse Practitioner
2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP, NJ 08234
Nurse Practitioner (Acute Care)
2500 ENGLISH CREEK AVE, BUILDING 200-SUITE 211
EGG HARBOR TOWNSHIP, NJ 08234
Counselor (Professional)
2500 ENGLISH CREEK AVE, BLDG 900, STE 905
EGG HARBOR TOWNSHIP, NJ 08234
Preventive Medicine (Occupational Medicine)
2500 ENGLISH CREEK AVE, BUILDING 900
EGG HARBOR TOWNSHIP, NJ 08234
Nurse Practitioner
2500 ENGLISH CREEK AVE, BLDG 400, 2ND FL
EGG HARBOR TOWNSHIP, NJ 08234
Nurse Practitioner
2500 ENGLISH CREEK AVE, BUILDING 400 2ND FL
EGG HARBOR TOWNSHIP, NJ 08234
Physician Assistant (Surgical)
2500 ENGLISH CREEK AVE, BUILDING 1300
EGG HARBOR TOWNSHIP, NJ 08234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jersey Shore Gastoenterology's NPI number?

The NPI number for Jersey Shore Gastoenterology is 1043741663. It was assigned to this organization in the NPPES registry on March 24, 2017.

Where is Jersey Shore Gastoenterology located?

Jersey Shore Gastoenterology is located at 2500 English Creek Ave Suite 903, Egg Harbor Township, NJ 08234. The listed phone number is (609) 645-1880.

What is Jersey Shore Gastoenterology's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Jersey Shore Gastoenterology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0932894) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jersey Shore Gastoenterology was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.