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MID STATE GASTROENTEROLOGY LLC
NPI 1235472424
Specialist in Freehold, NJ

Active since April 05, 2013
800 W MAIN ST STE 111, FREEHOLD, NJ 07728(732) 800-8950(732) 800-8951 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid State Gastroenterology Llc NPPES

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

MID STATE GASTROENTEROLOGY LLC (NPI 1235472424) is a healthcare organization registered as a specialist in Freehold, New Jersey and active in the NPI registry since April 2013. The organization lists Shelly Lowell Ludwig, President/owner, as its authorized official.

NPPES Registry Identity

NPI1235472424
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID STATE GASTROENTEROLOGY LLC
Location Address800 W MAIN ST STE 111Freehold, NJ 07728-2555
Mailing Address800 W Main St Ste 111Freehold, NJ 07728-2555 · (328) 008-9507 · Fax (732) 800-8951
Phone(732) 800-8950
Fax(732) 800-8951
Organization SubpartNo
Authorized OfficialShelly Lowell LudwigPresident/owner · (732) 800-8950
Enumeration DateApril 5, 2013
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1235472424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
800 W MAIN ST STE 111, Freehold, NJ 07728
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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

Other Providers at the Same Location NPPES

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

DR. SHELLY L LUDWIG M.D.
Specialist
800 W MAIN ST STE 111
FREEHOLD, NJ 07728
Monmouth County (328) 008-9507

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 Mid State Gastroenterology LLC's NPI number?

The NPI number for Mid State Gastroenterology LLC is 1235472424. It was assigned to this organization in the NPPES registry on April 5, 2013.

Where is Mid State Gastroenterology LLC located?

Mid State Gastroenterology LLC is located at 800 W Main St Ste 111, Freehold, NJ 07728. The listed phone number is (732) 800-8950.

What is Mid State Gastroenterology LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mid State Gastroenterology LLC was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.