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GARDEN STATE GASTROENTEROLOGY,PC
NPI 1215124524
Internal Medicine - Gastroenterology in Old Bridge, NJ

Active since October 01, 2007CLIA 31D2328720 · Certificate of Compliance
200 PERRINE RD, SUITE 231, OLD BRIDGE, NJ 08857(732) 525-0600(732) 525-9777 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garden State Gastroenterology,pc NPPES

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

GARDEN STATE GASTROENTEROLOGY,PC (NPI 1215124524) is a healthcare organization registered as a gastroenterology in Old Bridge, New Jersey and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through August 14, 2027 and lists Tracey Drevelus Hom, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215124524
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGARDEN STATE GASTROENTEROLOGY,PC
Location Address200 PERRINE RD, SUITE 231Old Bridge, NJ 08857-2842
Mailing AddressPo Box 209Wickatunk, NJ 07765-0209 · (732) 525-0600 · Fax (732) 525-9777
Phone(732) 525-0600
Fax(732) 525-9777
Organization SubpartNo
Authorized OfficialTracey Drevelus HomOffice Manager · (732) 525-0600
Enumeration DateOctober 1, 2007
✔ NPI 1215124524 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 · MA59602
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.
200 PERRINE RD, Old Bridge, NJ 08857
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Other Identifiers 1

Medicare PIN078836NJ

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 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 31D2328720

Garden State Gastroenterology · Old Bridge, NJ
Active · expires Aug 14, 2027
CLIA Number31D2328720
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorHongxing Gui
Laboratory Phone(732) 525-0600
Laboratory LocationGarden State Gastroenterology200 Perrine Road Suite 231, Old Bridge, NJ 08857
CLIA data matches this NPI record on: Address 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 20

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

MR. SANJEEV NAYYAR MD
Internal Medicine (Gastroenterology)
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600
WOMENS HEALTHCARE PAVILLION PA
Point of Service
200 PERRINE RD, SUITE 204
OLD BRIDGE, NJ 08857
Middlesex County (732) 707-3545
MEENAKSHI B. PARIKH M. D.
Pediatrics
200 PERRINE RD, SUITE # 223
OLD BRIDGE, NJ 08857
Middlesex County (732) 727-1818
REHABILITATION AND ELECTRODIAGNOSTICS INC
Specialist
200 PERRINE RD, SUITE 211
OLD BRIDGE, NJ 08857
Middlesex County (732) 553-1000
KAJAL GANDHI NURSE PRACTITIONER
Nurse Practitioner (Family)
200 PERRINE RD
OLD BRIDGE, NJ 08857
Middlesex County (732) 264-1163
DR. MARITZA GEORGETTE PARRENO M.D.
Internal Medicine
200 PERRINE RD, SUITE 220
OLD BRIDGE, NJ 08857
Middlesex County (732) 721-1600
SEEMA NAYYAR DO, INC
Anesthesiology
200 PERRINE RD, SUITE 231
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0600
SANTHOSH K. CHEELA
Internal Medicine (Gastroenterology)
200 PERRINE RD, SUITE 208
OLD BRIDGE, NJ 08857
Middlesex County (732) 525-0200

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 Garden State Gastroenterology,pc's NPI number?

The NPI number for Garden State Gastroenterology,pc is 1215124524. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Garden State Gastroenterology,pc located?

Garden State Gastroenterology,pc is located at 200 Perrine Rd Suite 231, Old Bridge, NJ 08857. The listed phone number is (732) 525-0600.

What is Garden State Gastroenterology,pc's specialty?

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

Does Garden State Gastroenterology,pc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2328720) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Garden State Gastroenterology,pc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Garden State Gastroenterology,pc 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 Garden State Gastroenterology,pc was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.