NORTHEAST GASTROENTEROLOGY CENTER, INC. - NPI 1164509287 - Internal Medicine in Hazle Township, PA

Q: What is Northeast Gastroenterology Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

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About Northeast Gastroenterology Center, Inc. NPPES

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

NORTHEAST GASTROENTEROLOGY CENTER, INC. (NPI 1164509287) is a healthcare organization registered as a gastroenterology in Hazle Township, Pennsylvania and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 7, 2027 and lists Young Kul Yoo, President, as its authorized official.

NPPES Registry Identity

NPI1164509287

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameNORTHEAST GASTROENTEROLOGY CENTER, INC.

Location Address10 PARK PLHazle Township, PA 18202-2885

Mailing Address10 Park PlaceHazle Township, PA 18202-9394 · (570) 454-1400 · Fax (570) 454-2144

Phone(570) 454-1400

Fax(570) 454-2144

Organization SubpartNo

Authorized OfficialYoung Kul YooPresident · (570) 454-1400

Enumeration DateNovember 1, 2006

Last NPPES UpdateSeptember 6, 2012

✔ NPI 1164509287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

10 PARK PL, Hazle Township, PA 18202

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Other Identifiers 4

OtherP006599PA · Tricare

Medicare ID-Type Unspecified865323PA

Medicaid0016044280008PA

Other513306PA · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Compliance 39D0943414

Northeast Gastroenterology Center · Hazleton, PA

Active · expires Oct 7, 2027

CLIA Number39D0943414

Laboratory TypePhysician Office

Certificate Effective DateOctober 8, 2025

Certificate Expiration DateOctober 7, 2027

Laboratory DirectorDr. Ryan Cristelli

Laboratory Phone(570) 454-1400

Laboratory LocationNortheast Gastroenterology Center10 Park Place, Hazleton, PA 18202

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

DR. JOSEPH YOO M.D.

Internal Medicine (Gastroenterology)