THE GASTROENTEROLOGY GROUP OF NORTHERN NEW JERSEY,LLC (NPI# 1073944005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073944005 |
| Entity Type | Organization |
| Organization Name | THE GASTROENTEROLOGY GROUP OF NORTHERN NEW JERSEY,LLC |
| Practice Address |
420 Grand Ave Suite 101 Englewood NJ 07631-4152 |
| Mailing Address |
420 Grand Ave Suite 101 Englewood NJ 07631 |
| Practice Telephone | 2015697044 |
| Practice Fax Number | 2015691999 |
| Mailing Telephone | 2015697044 |
| Mailing Fax Number | 2015691999 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | DR. IVAN A FRIEDRICH (PHYSICIAN/BOARD OF GOVERNORS) |
| Authorized Official Telephone | 2015697044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
25MA03997000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
420 GRAND AVE SUITE 101 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427025980 | Anna Shoshilos | Obstetrics & Gynecology | 420 Grand Ave, Suite: 202, Englewood, NJ 07631-4152 | 2006-03-03 |
| 1679808562 | Lucy Tamar Tovmasian | Obstetrics & Gynecology | 420 Grand Ave, Suite 202, Englewood, NJ 07631-4152 | 2009-10-09 |
| 1568641058 | Sandarsh Raj Kancherla | Internal Medicine | 420 Grand Ave, Englewood, NJ 07631-4152 | 2007-10-31 |
| 1669671566 | Karl G Klinges Md David G Butler and James Van Elswyk Md Pa | Obstetrics & Gynecology | 420 Grand Ave, Suite 202, Englewood, NJ 07631-4152 | 2007-07-12 |
| 1548487432 | Irina Kaplounova | Specialist | 420 Grand Ave, Englewood, NJ 07631-4152 | 2007-04-20 |
| 1316068448 | David G. Butler | Obstetrics & Gynecology | 420 Grand Ave, Englewood, NJ 07631-4152 | 2007-04-03 |
| 1164543120 | Carmela Seymour | Obstetrics & Gynecology | 420 Grand Ave, Englewood, NJ 07631-4152 | 2007-04-03 |
| 1134240138 | Christopher A. Englert | Obstetrics & Gynecology | 420 Grand Ave, Englewood, NJ 07631-4152 | 2007-04-03 |
| 1154476570 | Elaina Berd-vergier | Dentist | 420 Grand Ave, Suite 201, Englewood, NJ 07631-4152 | 2007-01-24 |
| 1730133794 | Drs Friedrich Rubin Panella and Sapienza, LLP | Clinic/Center | 420 Grand Ave, Englewood, NJ 07631-4152 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1295024677 | Seymour Katz | Internal Medicine | 4475 S Lafayette St, Englewood, CO 80113-5943 | 2011-04-06 |
| 1215043682 | Jay M Raja | Internal Medicine | 900 E Pine St, Suite 215, Englewood, FL 34223 | 2006-08-21 |
| 1003861030 | Mary A Kovalak | Internal Medicine | 88 Inverness Cir E, A205, Englewood, CO 80112-5304 | 2006-05-25 |
| 1457317638 | Kyrsten D Fairbanks | Internal Medicine | 499 E Hampden Ave Ste 420, Englewood, CO 80113-2794 | 2006-04-25 |
| 1801424486 | Gi Care of Colorado Pllc | Internal Medicine | 499 E Hampden Ave Ste 420, Englewood, CO 80113-2794 | 2020-03-30 |
| 1083241947 | Healthone Clinic Services Medical Specialties LLC | Internal Medicine | 799 E Hampden Ave Ste 100, Englewood, CO 80113-2757 | 2020-03-23 |
| 1619503794 | Healthone Clinic Services Medical Specialties LLC | Internal Medicine | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-03-20 |
| 1104257526 | Florida Digestive Health Specialists LLP | Internal Medicine | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1749 | 2013-12-11 |
| 1003160797 | Florida Digestive Health Specialists, LLP | Internal Medicine | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1749 | 2012-11-01 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.