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

Active since November 01, 2006CLIA 39D0943414 · Certificate of Compliance
10 PARK PL, HAZLE TOWNSHIP, PA 18202(570) 454-1400(570) 454-2144 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Gastroenterology Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Northeast Gastroenterology Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)20
Pathology5
Nurse Practitioner3
Gastroenterology1

Nearest to this location (20)

See all 29
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750387957
10 PARK PL
Hazle Township, PA 18202
(570) 454-1000
✔ Accepts MedicareSame address
Gastroenterology
NPI 1548243330
1500 EAST 36TH ST
Hazleton, PA 18202
(570) 454-1400
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1538726179
10 PARK PL
Hazle Township, PA 18202
(570) 454-1400
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1588086763
1000 STACIE DR
Hazleton, PA 18201
(570) 417-8660
✔ PECOS3.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548288137
1205 E MAHANOY ST
Mahanoy City, PA 17948
(520) 906-8494
12 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841564739
207 SCOTT ST
Wilkes Barre, PA 18702
(917) 687-4307
✔ PECOS✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1407887334
423 3RD AVE
Kingston, PA 18704
(570) 331-0880
21 mi
Nurse Practitioner
NPI 1821553835
300 HOLLYWOOD BLVD
Orwigsburg, PA 17961
(570) 366-1557
✔ PECOS✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568464337
100 N ACADEMY AVE
Danville, PA 17822
(570) 271-6621
✔ Accepts Medicare32 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285619890
4200 HOSPITAL RD
Coal Township, PA 17866
(570) 644-4259
✔ Accepts Medicare32 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063480101
5100 W TILGHMAN ST STE 315
Allentown, PA 18104
(610) 395-4044
✔ Accepts Medicare34 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376506675
5100 W TILGHMAN ST STE 315
Allentown, PA 18104
(610) 395-4044
✔ Accepts Medicare34 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225010770
5100 W TILGHMAN ST STE 315
Allentown, PA 18104
(610) 395-4044
34 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447232707
5000 TILGHMAN ST STE 240
Allentown, PA 18104
(610) 395-4044
✔ Accepts Medicare34 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902897861
1736 W HAMILTON ST
Allentown, PA 18104
(610) 628-8372
✔ Accepts Medicare37 mi
Pathology
NPI 1356811939
781 KEYSTONE INDUSTRIAL PARK
Dunmore, PA 18512
(570) 558-4560
✔ PECOS✔ Accepts Medicare38 mi
Pathology
NPI 1346206752
781 KEYSTONE INDUSTRIAL PARK
Dunmore, PA 18512
(570) 558-4560
✔ PECOS✔ Accepts Medicare38 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386786077
423 SCRANTON CARBONDALE HWY
Scranton, PA 18508
(570) 558-6372
✔ Accepts Medicare39 mi
Pathology
NPI 1164810156
2201 CHAPEL AVE W PATHOLOGY DEPARTMENT
Cherry Hill, NJ 08002
(856) 488-6560
✔ PECOS✔ Accepts Medicare88 mi
Pathology
NPI 1811967904
2201 CHAPEL AVE W
Cherry Hill, NJ 08002
(856) 488-6506
✔ PECOS✔ Accepts Medicare88 mi
See all 29 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 Northeast Gastroenterology Center, Inc.'s NPI number?

The NPI number for Northeast Gastroenterology Center, Inc. is 1164509287. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Northeast Gastroenterology Center, Inc. located?

Northeast Gastroenterology Center, Inc. is located at 10 Park Pl, Hazle Township, PA 18202. The listed phone number is (570) 454-1400.

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.

Is Northeast Gastroenterology Center, Inc. enrolled in Medicare?

Yes. Northeast Gastroenterology Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Gastroenterology Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 4 Medicare specialties reassign their Medicare billing to Northeast Gastroenterology Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (20), Pathology (5) and Nurse Practitioner (3). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeast Gastroenterology Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D0943414) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Gastroenterology Center, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Northeast Gastroenterology Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Gastroenterology Center, Inc. was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.