| Essex Gastro Associates, Pa | |
|
275 Chestnut St Newark NJ 07105-1570 | |
| (973) 589-5545 | |
| (973) 589-0073 |
| Full Name | Essex Gastro Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Chestnut St, Newark, New Jersey |
| Authorized Official Name and Position | Firpo Eugenio Guerrero (PRESIDENT) |
| Authorized Official Contact | 9735895545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essex Gastro Associates, Pa 275 Chestnut St Newark NJ 07105-1570 Ph: (973) 589-5545 | Essex Gastro Associates, Pa 275 Chestnut St Newark NJ 07105-1570 Ph: (973) 589-5545 |
| NPI Number | 1114933926 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 05/13/2011 |
| Medicare PECOS PAC ID | 2668447939 |
|---|---|
| Medicare Enrollment ID | O20040831000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114933926 | NPI | - | NPPES |
| 0036633 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 24MA04217500 (New Jersey) | Primary |
| Provider Name | Firpo E Guerrero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518973742 PECOS PAC ID: 7113992496 Enrollment ID: I20040907000442 |
| Provider Name | Renato C Miguel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073554549 PECOS PAC ID: 2769419308 Enrollment ID: I20050726000009 |
| Provider Name | Magdi Seedhom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174717698 PECOS PAC ID: 3173601564 Enrollment ID: I20080425000267 |
| Provider Name | Kaiyung Woo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942298641 PECOS PAC ID: 8729162367 Enrollment ID: I20090729000828 |
| Provider Name | Rongshan Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750335667 PECOS PAC ID: 5799747739 Enrollment ID: I20100211000577 |
| Provider Name | Ravi Naik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548433691 PECOS PAC ID: 5294864690 Enrollment ID: I20110608000510 |
| Provider Name | David C De Vinck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205095155 PECOS PAC ID: 8628112141 Enrollment ID: I20110822000382 |
| Provider Name | Dolis Lebreault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184906554 PECOS PAC ID: 1951552470 Enrollment ID: I20121109000488 |
| Provider Name | Keneil A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407551286 PECOS PAC ID: 3779931571 Enrollment ID: I20231204002047 |
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