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

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • Accepts Insurance

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 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice 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
  • Elite Silver - HMO
  • Elite Silver + 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
  • 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
  • Premier Bronze HSA - EPO
  • Premier 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TRACEY DREVELUS HOM

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(732) 525-0600

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
078836MEDICARE PIN (08)NJ 

Reviews for GARDEN STATE GASTROENTEROLOGY,PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215124524
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222522854
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 2 + 8 + 5 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1215124524 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

SANTHOSH K CHEELA MD

Internal Medicine

(Gastroenterology)

200 PERRINE RD
SUITE #208
OLD BRIDGE, NJ
ZIP 08857

(732) 525-0200

JOHN ANTHONY RENDA MD

Internal Medicine

200 PERRINE RD
SUITE 231
OLD BRIDGE, NJ
ZIP 08857

(732) 727-4774

MEENAKSHI B. PARIKH M. D.

Pediatrics

200 PERRINE RD
SUITE # 223
OLD BRIDGE, NJ
ZIP 08857

(732) 727-1818

DR. ABHA BHARGAVA MD

Internal Medicine

(Infectious Disease)

200 PERRINE RD
SUITE 206
OLD BRIDGE, NJ
ZIP 08857

(732) 316-5100

LUCYNA KRYSTYNA LUPICKI M.D.

Physical Medicine & Rehabilitation

200 PERRINE RD
SUITE 211
OLD BRIDGE, NJ
ZIP 08857

(732) 553-1000

MAREK ROBERT LUPICKI M.D.

Internal Medicine

200 PERRINE RD
SUITE 211
OLD BRIDGE, NJ
ZIP 08857

(732) 553-1000

RONALD QUIBA MD

Pediatrics

(Adolescent Medicine)

200 PERRINE RD
SUITE 229
OLD BRIDGE, NJ
ZIP 08857

(732) 727-8800

SANTHOSH K. CHEELA

Internal Medicine

(Gastroenterology)

200 PERRINE RD
SUITE 208
OLD BRIDGE, NJ
ZIP 08857

(732) 525-0200

DR. RAJ BAHADUR DHAKHWA M.D.

Internal Medicine

(Pulmonary Disease)

200 PERRINE RD
230
OLD BRIDGE, NJ
ZIP 08857

(732) 727-0060

SEEMA NAYYAR DO, INC

Anesthesiology

200 PERRINE RD
SUITE 231
OLD BRIDGE, NJ
ZIP 08857

(732) 525-0600

BARBARA WYCZESANY NP-C

Nurse Practitioner

(Adult Health)

200 PERRINE RD
SUITE 211
OLD BRIDGE, NJ
ZIP 08857

(732) 553-1000

WOMENS HEALTHCARE PAVILLION PA

Point of Service

200 PERRINE RD
SUITE 204
OLD BRIDGE, NJ
ZIP 08857

(732) 707-3545

JOHN A RENDA MD PA,INC

Internal Medicine

200 PERRINE RD
SUITE 231
OLD BRIDGE, NJ
ZIP 08857

(732) 727-4774

REHABILITATION AND ELECTRODIAGNOSTICS INC

Specialist

200 PERRINE RD
SUITE 211
OLD BRIDGE, NJ
ZIP 08857

(732) 553-1000

COMPAS CHIROPRACTIC, LLC

Chiropractor

200 PERRINE RD
SUITE 220
OLD BRIDGE, NJ
ZIP 08857

(732) 952-5888

OLD BRIDGE CENTER OF PHYSICAL THERAPY INC

Physical Therapist

200 PERRINE RD
SUITE 200
OLD BRIDGE, NJ
ZIP 08857

(732) 525-1133

DIPTIKA D PATEL MDPA

Internal Medicine

200 PERRINE RD
SUITE 227
OLD BRIDGE, NJ
ZIP 08857

(732) 727-4780

DIPTIKA PATEL MD

Internal Medicine

200 PERRINE RD
SUITE 227
OLD BRIDGE, NJ
ZIP 08857

(732) 727-4780

DR. MARITZA GEORGETTE PARRENO M.D.

Internal Medicine

200 PERRINE RD
SUITE 220
OLD BRIDGE, NJ
ZIP 08857

(732) 721-1600

PRESTIGE MEDICAL CARE LLC

Internal Medicine

200 PERRINE RD
SUITE 220
OLD BRIDGE, NJ
ZIP 08857

(732) 721-1600

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.