| Professional Gastroenterology Associates Pa | |
|
1939 E Route 70 Suite 250 Cherry Hill NJ 08003-4507 | |
| (856) 429-4433 | |
| (856) 424-6732 |
| Full Name | Professional Gastroenterology Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1939 E Route 70, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Warren Werbitt (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8564294433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Gastroenterology Associates Pa 1939 E Route 70 Suite 250 Cherry Hill NJ 08003-4507 Ph: (856) 429-4433 | Professional Gastroenterology Associates Pa 1939 E Route 70 Suite 250 Cherry Hill NJ 08003-4507 Ph: (856) 429-4433 |
| NPI Number | 1639247786 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 02/07/2020 |
| Medicare PECOS PAC ID | 7618939703 |
|---|---|
| Medicare Enrollment ID | O20041101000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639247786 | NPI | - | NPPES |
| 2802902 | Medicaid | NJ | |
| 33825 | Other | NJ | AETNA |
| J006205 | Other | NJ | CHAMPUS |
| 0084552000 | Other | NJ | AMERIHEALTH |
| 1002709 | Other | NJ | HORIZON MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Warren Werbitt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275595035 PECOS PAC ID: 9931194644 Enrollment ID: I20041102000730 |
| Provider Name | Ahmed A Shehata |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497717516 PECOS PAC ID: 7315909256 Enrollment ID: I20041102000785 |
| Provider Name | Heather Elizabeth Fean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538379771 PECOS PAC ID: 5799712485 Enrollment ID: I20050913000332 |
| Provider Name | Anil R. Balani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972779098 PECOS PAC ID: 7012082407 Enrollment ID: I20080820000003 |
| Provider Name | Jun Steve Hou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619923828 PECOS PAC ID: 5294732186 Enrollment ID: I20081217000606 |
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