SHORE GASTROENTEROLOGY ASSOCIATES PC
NPI 1093719809
Specialist in Oakhurst, NJ

Active since June 09, 2005CLIA 31D0703839 · Waiver
1907 HIGHWAY 35, STE 1, OAKHURST, NJ 07755(732) 517-0060(723) 517-8589 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shore Gastroenterology Associates Pc NPPES

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

SHORE GASTROENTEROLOGY ASSOCIATES PC (NPI 1093719809) is a healthcare organization registered as a specialist in Oakhurst, New Jersey and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Frederic R Gross, President Of Company, as its authorized official.

NPPES Registry Identity

NPI1093719809
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHORE GASTROENTEROLOGY ASSOCIATES PC
Location Address1907 HIGHWAY 35, STE 1Oakhurst, NJ 07755-2760
Mailing Address1907 Highway 35, Ste 1Oakhurst, NJ 07755-2760 · (732) 517-0060 · Fax (732) 517-8589
Fax(723) 517-8589
Organization SubpartNo
Authorized OfficialFrederic R GrossPresident Of Company · (732) 517-0060
Enumeration DateJune 9, 2005
Last NPPES UpdateFebruary 12, 2009
NPI 1093719809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 25MA047267000
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1907 HIGHWAY 35, Oakhurst, NJ 07755

Other Identifiers 2

Medicaid3385809NJ
Medicare PIN700139NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 31D0703839

Shore Gastroenterology Associates PC · Oakhurst, NJ
Active · expires May 7, 2027
CLIA Number31D0703839
Laboratory TypeIndependent
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorStacey M. Longo
Laboratory Phone(732) 517-0243
Laboratory LocationShore Gastroenterology Associates PC1907 Highway 35 Suite #1-A, Oakhurst, NJ 07755
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Clinic/Center (Ambulatory Surgical)
1907 HIGHWAY 35, SUITE 9
OAKHURST, NJ 07755
Dentist (General Practice)
1907 HIGHWAY 35, SUITE 4
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Clinic/Center (Ambulatory Surgical)
1907 HIGHWAY 35, SUITE 9
OAKHURST, NJ 07755
Dentist (General Practice)
1907 HIGHWAY 35, SUITE #4
OAKHURST, NJ 07755
Internal Medicine (Geriatric Medicine)
1907 HIGHWAY 35, STE 2
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755

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 Shore Gastroenterology Associates PC's NPI number?

The NPI number for Shore Gastroenterology Associates PC is 1093719809. It was assigned to this organization in the NPPES registry on June 9, 2005.

Where is Shore Gastroenterology Associates PC located?

Shore Gastroenterology Associates PC is located at 1907 Highway 35 Ste 1, Oakhurst, NJ 07755. The listed phone number is (732) 517-0060.

What is Shore Gastroenterology Associates PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Shore Gastroenterology Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0703839) is associated with this NPI, valid through May 7, 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 Shore Gastroenterology Associates PC was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.