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
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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 

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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.

NPI Name / Type Taxonomy Address
1730169632 SANTHOSH K CHEELA MD
Individual
Internal Medicine (Gastroenterology)200 PERRINE RD SUITE #208
OLD BRIDGE, NJ 08857
(732) 525-0200
1447227566 JOHN ANTHONY RENDA MD
Individual
Internal Medicine200 PERRINE RD SUITE 231
OLD BRIDGE, NJ 08857
(732) 727-4774
1083630503 MEENAKSHI B. PARIKH M. D.
Individual
Pediatrics200 PERRINE RD SUITE # 223
OLD BRIDGE, NJ 08857
(732) 727-1818
1477560324DR. ABHA BHARGAVA MD
Individual
Internal Medicine (Infectious Disease)200 PERRINE RD SUITE 206
OLD BRIDGE, NJ 08857
(732) 316-5100
1669579439 LUCYNA KRYSTYNA LUPICKI M.D.
Individual
Physical Medicine & Rehabilitation200 PERRINE RD SUITE 211
OLD BRIDGE, NJ 08857
(732) 553-1000
1508967746 MAREK ROBERT LUPICKI M.D.
Individual
Internal Medicine200 PERRINE RD SUITE 211
OLD BRIDGE, NJ 08857
(732) 553-1000
1356435200 RONALD QUIBA MD
Individual
Pediatrics (Adolescent Medicine)200 PERRINE RD SUITE 229
OLD BRIDGE, NJ 08857
(732) 727-8800
1285794628SANTHOSH K. CHEELA
Organization
Internal Medicine (Gastroenterology)200 PERRINE RD SUITE 208
OLD BRIDGE, NJ 08857
(732) 525-0200
1891839239DR. RAJ BAHADUR DHAKHWA M.D.
Individual
Internal Medicine (Pulmonary Disease)200 PERRINE RD 230
OLD BRIDGE, NJ 08857
(732) 727-0060
1275780314SEEMA NAYYAR DO, INC
Organization
Anesthesiology200 PERRINE RD SUITE 231
OLD BRIDGE, NJ 08857
(732) 525-0600
1639310725 BARBARA WYCZESANY NP-C
Individual
Nurse Practitioner (Adult Health)200 PERRINE RD SUITE 211
OLD BRIDGE, NJ 08857
(732) 553-1000
1063649168WOMENS HEALTHCARE PAVILLION PA
Organization
Point of Service200 PERRINE RD SUITE 204
OLD BRIDGE, NJ 08857
(732) 707-3545
1851600100JOHN A RENDA MD PA,INC
Organization
Internal Medicine200 PERRINE RD SUITE 231
OLD BRIDGE, NJ 08857
(732) 727-4774
1083915607REHABILITATION AND ELECTRODIAGNOSTICS INC
Organization
Specialist200 PERRINE RD SUITE 211
OLD BRIDGE, NJ 08857
(732) 553-1000
1679811830COMPAS CHIROPRACTIC, LLC
Organization
Chiropractor200 PERRINE RD SUITE 220
OLD BRIDGE, NJ 08857
(732) 952-5888
1598889479OLD BRIDGE CENTER OF PHYSICAL THERAPY INC
Organization
Physical Therapist200 PERRINE RD SUITE 200
OLD BRIDGE, NJ 08857
(732) 525-1133
1285976829DIPTIKA D PATEL MDPA
Organization
Internal Medicine200 PERRINE RD SUITE 227
OLD BRIDGE, NJ 08857
(732) 727-4780
1417949975 DIPTIKA PATEL MD
Individual
Internal Medicine200 PERRINE RD SUITE 227
OLD BRIDGE, NJ 08857
(732) 727-4780
1215048871DR. MARITZA GEORGETTE PARRENO M.D.
Individual
Internal Medicine200 PERRINE RD SUITE 220
OLD BRIDGE, NJ 08857
(732) 721-1600
1740690742PRESTIGE MEDICAL CARE LLC
Organization
Internal Medicine200 PERRINE RD SUITE 220
OLD BRIDGE, NJ 08857
(732) 721-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215124524, enumerated in the NPI registry 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

This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with 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 make sure your health plan is currently accepted.

This NPI record was last updated on October 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.