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Contact Information

GASTRO-SURGI CENTER OF NEW JERSEY
1132 SPRUCE DRIVE
MOUNTAINSIDE, NJ07092
 Phone: 908-317-9434
 Fax: 908-317-0103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GASTRO-SURGI CENTER OF NEW JERSEY

NPI # 1851594519
LBN Legal business name GASTRO-SURGI CENTER OF NEW JERSEY
Authorized official MARVIN LIPSBY - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2007
Last updated 06/23/2021 - About 5 years ago
Identifiers
NJ Medicaid 0061590
NJ Other 22511 ASC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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