GASTROENTEROLOGY GROUP OF SOUTH JERSEY P C
NPI 1245391051
Specialist in Vineland, NJ

Active since December 13, 2006
602 W SHERMAN AVE, VINELAND, NJ 08360(856) 691-1400(856) 691-7117 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gastroenterology Group Of South Jersey P C NPPES

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

GASTROENTEROLOGY GROUP OF SOUTH JERSEY P C (NPI 1245391051) is a healthcare organization registered as a specialist in Vineland, New Jersey and active in the NPI registry since December 2006. The organization lists Gary Matusow, Owner, as its authorized official.

NPPES Registry Identity

NPI1245391051
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGASTROENTEROLOGY GROUP OF SOUTH JERSEY P C
Location Address602 W SHERMAN AVEVineland, NJ 08360-7054
Mailing Address602 W Sherman AveVineland, NJ 08360-7054 · (856) 691-1400 · Fax (856) 691-7117
Fax(856) 691-7117
Organization SubpartNo
Authorized OfficialGary MatusowOwner · (856) 691-1400
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 11, 2008
NPI 1245391051 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.
602 W SHERMAN AVE, Vineland, NJ 08360

Other Identifiers 8

Medicare ID-Type Unspecified429596NJ
Other1055942NJ · Horizon Nj Health
Medicaid5430208NJ
Medicare PIN100009564NJ
OtherCU000003403NJ · Americhoice
Medicare PIN429596NJ
Other0185588000NJ · Amerihealth
Other0458453NJ · Aetna

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 4

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

Internal Medicine (Gastroenterology)
602 W SHERMAN AVE
VINELAND, NJ 08360
Clinic/Center (Ambulatory Surgical)
602 W SHERMAN AVE
VINELAND, NJ 08360
Anesthesiology
602 W SHERMAN AVE
VINELAND, NJ 08360
Anesthesiology
602 W SHERMAN AVE
VINELAND, NJ 08360

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 Gastroenterology Group Of South Jersey P C's NPI number?

The NPI number for Gastroenterology Group Of South Jersey P C is 1245391051. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Gastroenterology Group Of South Jersey P C located?

Gastroenterology Group Of South Jersey P C is located at 602 W Sherman Ave, Vineland, NJ 08360. The listed phone number is (856) 691-1400.

What is Gastroenterology Group Of South Jersey P C'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 Gastroenterology Group Of South Jersey P C was last updated on June 11, 2008. 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.