| North Jersey Gi Associates,pa | |
|
15-01 Broadway Suite # 28 Fair Lawn NJ 07410-6003 | |
| (201) 794-8900 | |
| (201) 794-9424 |
| Full Name | North Jersey Gi Associates,pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 15-01 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Ramesh C Gupta (PRESIDENT) |
| Authorized Official Contact | 2017948900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Gi Associates,pa 15-01 Broadway Suite # 28 Fair Lawn NJ 07410-6003 Ph: (201) 794-8900 | North Jersey Gi Associates,pa 15-01 Broadway Suite # 28 Fair Lawn NJ 07410-6003 Ph: (201) 794-8900 |
| NPI Number | 1386622264 |
|---|---|
| Provider Enumeration Date | 01/03/2006 |
| Last Update Date | 02/10/2012 |
| Medicare PECOS PAC ID | 4981695624 |
|---|---|
| Medicare Enrollment ID | O20040520001154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386622264 | NPI | - | NPPES |
| 2985101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (New Jersey) | Primary |
| Provider Name | Ramesh C Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205813391 PECOS PAC ID: 8325039068 Enrollment ID: I20051017000451 |
| Provider Name | Nebras Zeizafoun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831325265 PECOS PAC ID: 0042360968 Enrollment ID: I20170320000677 |
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