BERGEN GASTROENTEROLOGY P C (NPI# 1801233176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801233176 |
| Entity Type | Organization |
| Organization Name | BERGEN GASTROENTEROLOGY P C |
| Other Organization Name | BERGEN GASTROENTEROLOGY P.C. - EMERSON |
| Practice Address |
466 Old Hook Rd Suite 1 Emerson NJ 07630-1396 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 2019678221 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA05477400 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Bergen Gastroenterology P.C. - Emerson | Doing Business As Name - Organization |
| Street Address |
466 OLD HOOK RD SUITE 1 |
| City | EMERSON |
| State | NJ |
| Zip Code | 07630-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637025 | Vincent Francis Giacalone | Podiatrist | 466 Old Hook Rd, Ste 24d, Emerson, NJ 07630-1368 | 2005-05-24 |
| 1245837681 | Ginay Granda | Counselor | 466 Old Hook Rd, Emerson, NJ 07630-1396 | 2020-10-08 |
| 1306169537 | Edward Costa | Podiatrist | 466 Old Hook Rd, Suite #1, Emerson, NJ 07630-1396 | 2010-03-02 |
| 1548594211 | Veena C Desai | Family Medicine | 466 Old Hook Rd, Bergen Medical Assoiciates Suite 1, Emerson, NJ 07630-1396 | 2009-09-28 |
| 1598927857 | Frank M.candido,m.d., P.a. | Internal Medicine | 466 Old Hook Rd, Suite 11& 12, Emerson, NJ 07630-1396 | 2008-06-27 |
| 1659556454 | Vincent F Giacalone | Durable Medical Equipment & Medical Supplies | 466 Old Hook Rd, Suite 24d, Emerson, NJ 07630-1396 | 2007-12-31 |
| 1821298795 | Sabrina L Tempesta | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630 | 2007-07-19 |
| 1669671327 | Melissa R Connolly | Obstetrics & Gynecology | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-13 |
| 1447457403 | Bergen Gastroenterology PC | Clinic/Center | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-02 |
| 1952423535 | Maryann M Ghali | Dentist | 466 Old Hook Rd, Suite 10, Emerson, NJ 07630-1396 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986208 | Serene Mind, LLC | Counselor | 32 Lincoln Blvd, Emerson, NJ 07630 | 2020-06-09 |
| 1215451943 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2a, Emerson, NJ 07630 | 2017-08-03 |
| 1760725808 | Affinity Home Care Services | Home Health | 16 Chestnut Avenue, Suite 302 W, Emerson, NJ 07630 | 2013-03-27 |
| 1982768800 | Effie Sofos | Dentist | 309 Kinderkamack Rd, Emerson, NJ 07630 | 2006-12-22 |
| 1114936838 | Frederick William Denike | Dentist | 24 Emerson Plaza West, Emerson, NJ 07630 | 2006-08-05 |
| 1720007743 | Carnig C Shakarjian | Podiatrist | 99 Kinderkamack Rd, Emerson, NJ 07630 | 2006-07-19 |
| 1740257880 | Mona Patel | Psychiatry & Neurology | 70 Kinderkamack Road, Suite # 201, Emerson, NJ 07630 | 2006-03-08 |
| 1134643869 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 1b, Emerson, NJ 07630 | 2017-08-03 |
| 1942725601 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2b, Emerson, NJ 07630 | 2017-08-03 |
| 1023533783 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 3a, Emerson, NJ 07630 | 2017-08-03 |
| Find all providers in zip 07630 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225370356 | Old Hook Medical Associates, LLC | Non-Pharmacy Dispensing Site | 452 Old Hook Rd, Floor 2, Emerson, NJ 07630-1381 | 2013-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
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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.