SPARTA GASTROENTEROLOGY LLC
NPI 1245424696
Internal Medicine - Gastroenterology in Sparta, NJ

Active since August 29, 2007
376 LAFAYETTE RD, SUITE 101, SPARTA, NJ 07871(973) 579-3174(973) 579-2961 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sparta Gastroenterology Llc NPPES

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

SPARTA GASTROENTEROLOGY LLC (NPI 1245424696) is a healthcare organization registered as a gastroenterology in Sparta, New Jersey and active in the NPI registry since August 2007. The organization lists Dmitry Mysh, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1245424696
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSPARTA GASTROENTEROLOGY LLC
Location Address376 LAFAYETTE RD, SUITE 101Sparta, NJ 07871
Mailing Address376 Lafayette Rd, Suite 101Sparta, NJ 07871-3560 · (973) 579-3174 · Fax (973) 579-2961
Fax(973) 579-2961
Organization SubpartNo
Authorized OfficialDmitry MyshMd Owner · (973) 579-3174
Enumeration DateAugust 29, 2007
Last NPPES UpdateDecember 3, 2007
NPI 1245424696 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 · 25MA065097
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.

376 LAFAYETTE RD, Sparta, NJ 07871

Other Identifiers 3

Medicare PIN116954NJ
Medicaid8503206NJ
Medicare UPINH02847NJ

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 7

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

Physician Assistant
376 LAFAYETTE RD
SPARTA, NJ 07871
Podiatrist
376 LAFAYETTE RD, RT 15 SO SUITE 101
SPARTA, NJ 07871
Physical Therapist
376 LAFAYETTE RD
SPARTA, NJ 07871
Counselor
376 LAFAYETTE RD, SUITE 200
SPARTA, NJ 07871
Social Worker
376 LAFAYETTE RD
SPARTA, NJ 07871
Social Worker (Clinical)
376 LAFAYETTE RD
SPARTA, NJ 07871
Physician Assistant
376 LAFAYETTE RD
SPARTA, NJ 07871

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 Sparta Gastroenterology LLC's NPI number?

The NPI number for Sparta Gastroenterology LLC is 1245424696. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Sparta Gastroenterology LLC located?

Sparta Gastroenterology LLC is located at 376 Lafayette Rd Suite 101, Sparta, NJ 07871. The listed phone number is (973) 579-3174.

What is Sparta Gastroenterology LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sparta Gastroenterology LLC was last updated on December 3, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.