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ADVANCED GASTROENTEROLOGY, PA
NPI 1164739447
Internal Medicine - Gastroenterology in West Orange, NJ

Active since September 08, 2010
741 NORTHFIELD AVENUE, SUITE 204, WEST ORANGE, NJ 07052(973) 731-8686(973) 731-1911 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Gastroenterology, Pa NPPES

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

ADVANCED GASTROENTEROLOGY, PA (NPI 1164739447) is a healthcare organization registered as a gastroenterology in West Orange, New Jersey and active in the NPI registry since September 2010. The organization lists Glen R Mogan, Owner, as its authorized official.

NPPES Registry Identity

NPI1164739447
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameADVANCED GASTROENTEROLOGY, PA
Location Address741 NORTHFIELD AVENUE, SUITE 204West Orange, NJ 07052
Mailing Address741 Northfield Avenue, Suite 204West Orange, NJ 07052 · (973) 731-8686 · Fax (973) 731-1911
Phone(973) 731-8686
Fax(973) 731-1911
Organization SubpartNo
Authorized OfficialGlen R MoganOwner · (973) 731-8686
Enumeration DateSeptember 8, 2010
✔ NPI 1164739447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA037333
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.

741 NORTHFIELD AVENUE, West Orange, NJ 07052
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Other Identifiers 1

Medicare UPINC61297NJ

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

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 Advanced Gastroenterology, PA's NPI number?

The NPI number for Advanced Gastroenterology, PA is 1164739447. It was assigned to this organization in the NPPES registry on September 8, 2010.

Where is Advanced Gastroenterology, PA located?

Advanced Gastroenterology, PA is located at 741 Northfield Avenue Suite 204, West Orange, NJ 07052. The listed phone number is (973) 731-8686.

What is Advanced Gastroenterology, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Gastroenterology, PA was last updated on September 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.