ATLANTIC COLON & RECTAL SURGEONS NPI 1780772889

NPI Information

  • NPI: 1780772889
  • Provider Name: ATLANTIC COLON & RECTAL SURGEONS
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Organization
  • CLIA Number: 31D0106272
  • Address: 33 OVERLOOK RD
    SUITE 412
    SUMMIT, NJ
    ZIP 07901
  • Phone: (908) 598-0220

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NPI Details

ATLANTIC COLON & RECTAL SURGEONS is a colon rectal surgery in Summit, NJ. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. ATLANTIC COLON & RECTAL SURGEONS NPI is 1780772889. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 OVERLOOK RD
SUITE 412
SUMMIT, NJ
ZIP 07901-570
Phone: (908) 598-0220
Fax: (908) 598-0415

The provider's authorized official is Walter L. Groff .
The authorized official title is Pres. and has the following contact phone number (908) 598-0220.

The CLIA number assigned to this NPI record is 31D0106272 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal SurgeryMA36009NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000705MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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