GARDEN STATE GASTROENTEROLOGY,PC
NPI 1215124524
Internal Medicine - Gastroenterology in Old Bridge, NJ
NPI Status: Active since October 01, 2007
Contact Information
200 PERRINE RD
SUITE 231
OLD BRIDGE, NJ
ZIP 08857
Phone: (732) 525-0600
Fax: (732) 525-9777
- Organization
- Internal Medicine
- Gastroenterology
- Accepts Insurance
- CLIA Number: 31D2328720
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-14-2027
About GARDEN STATE GASTROENTEROLOGY,PC
This page provides the complete NPI Profile along with additional information for Garden State Gastroenterology,pc, an internist established in Old Bridge, New Jersey operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1215124524 assigned on October 2007. The practitioner's primary taxonomy code is 207RG0100X with license number MA59602 (NJ). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Tracey Drevelus Hom (Office Manager)
- NPI
- 1215124524
- Provider Name
- GARDEN STATE GASTROENTEROLOGY,PC
- Entity Type
- Organization
- Location Address
- 200 PERRINE RD SUITE 231 OLD BRIDGE, NJ 08857
- Location Phone
- (732) 525-0600
- Location Fax
- (732) 525-9777
- Mailing Address
- PO BOX 209 WICKATUNK, NJ 07765
- Mailing Phone
- (732) 525-0600
- Mailing Fax
- (732) 525-9777
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-01-2007
- Last Update Date
- 10-01-2007
- Code Navigator
An internist like Garden State Gastroenterology,pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA59602
- License State
- NJ
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 078836 | MEDICARE PIN (08) | NJ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2328720
- Facility Type
- Physician Office
- Certificate Effective Date
- August 15, 2025
- Certificate Expiration Date
- August 14, 2027
- Laboratory Director
- HONGXING GUI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Garden State Gastroenterology,pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for GARDEN STATE GASTROENTEROLOGY,PC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215124524, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
OLD BRIDGE, NJ 08857
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215124524, enumerated as an "organization" on October 01, 2007.
The provider is located at 200 PERRINE RD SUITE 231 OLD BRIDGE, NJ 08857 and the phone number is (732) 525-0600.
Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.
