GASTRO-SURGI CENTER OF NEW JERSEY NPI 1891881926

NPI Information

NPI: 1891881926
Provider Name: GASTRO-SURGI CENTER OF NEW JERSEY
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 31D0973598

Address:
1132 SPRUCE DRIVE
MOUNTAINSIDE, NJ
ZIP 07092
Phone: (908) 317-9434
Get Directions

GASTRO-SURGI CENTER OF NEW JERSEY is an ambulatory surgical clinic center in Mountainside, NJ. GASTRO-SURGI CENTER OF NEW JERSEY NPI is 1891881926. The provider is registered as an organization entity type.

The provider's business location address is:

1132 SPRUCE DRIVE
MOUNTAINSIDE, NJ
ZIP 07092-219
Phone: (908) 317-9434
Fax: (908) 317-5874

The provider's authorized official is Sharon A Gelardi .
The authorized official title is Executive Director and has the following contact phone number (908) 317-9434.

The CLIA number assigned to this NPI record is 31D0973598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/12/2010.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	ASC22511	OTHER	NEW JERSEY	STATE LIC AMBULATORY SURG
2	0061590	MEDICAID	NEW JERSEY
3	022456	MEDICARE PIN	NEW 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: 5/5/2024

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