1659328698 NPI number — THE GASTROENTEROLOGY GROUP, P.A.

Table of content: (NPI 1659328698)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659328698 NPI number — THE GASTROENTEROLOGY GROUP, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE GASTROENTEROLOGY GROUP, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659328698
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1203 LANGHORNE NEWTOWN RD STE 234
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANGHORNE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19047-1224
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-750-2911
Provider Business Mailing Address Fax Number:
215-750-2917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1203 LANGHORNE NEWTOWN RD STE 234
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANGHORNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19047-1224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-750-2911
Provider Business Practice Location Address Fax Number:
215-750-2917
Provider Enumeration Date:
05/27/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BARASH
Authorized Official First Name:
CRAIG
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
215-750-2911

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1063460624 . This is a "INDIVIDUAL NPI-J.VOLPE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1245288190 . This is a "INDIVIDUAL NPI-C. BARASH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1588622740 . This is a "INDIVIDUAL NPI-D. SALOWE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1659339133 . This is a "INDIVIDUAL NPI-S. MODENA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1245288190 . This is a "INDIVIDUAL NPI-C.BARASH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1588622740 . This is a "INDIVIDUAL NPI-D.SALOWE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1588612105 . This is a "INDIVIDUAL NPI-J.KRAVITZ" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1063460624 . This is a "INDIVIDUAL NPI-J.VOLPE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1588612105 . This is a "INDIVIDUAL NPI-J.KRAVITZ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1659339133 . This is a "INDIVIDUAL NPI-S.MODENA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".