Garden State Gastroenterology,pc - Medicare Primary Care in Old Bridge, NJ

Garden State Gastroenterology,pc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Old Bridge, New Jersey. The current practice location for Garden State Gastroenterology,pc is 200 Perrine Rd, Suite 231, Old Bridge, New Jersey. For appointments, you can reach them via phone at (732) 525-0600. The mailing address for Garden State Gastroenterology,pc is Po Box 209, Wickatunk, New Jersey and phone number is (732) 525-0600.

Garden State Gastroenterology,pc is licensed to practice in New Jersey (license number MA59602). The clinic also participates in the medicare program and its NPI number is 1215124524. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (732) 525-0600.

Contact Information

Garden State Gastroenterology,pc
200 Perrine Rd
Suite 231
Old Bridge
NJ 08857-2842
(732) 525-0600
(732) 525-9777

Map and Direction


Primary Care Clinic Profile

Full NameGarden State Gastroenterology,pc
SpecialityInternal Medicine
Location200 Perrine Rd, Old Bridge, New Jersey
Authorized Official Name and PositionTracey Drevelus Hom (OFFICE MANAGER)
Authorized Official Contact7325250600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Garden State Gastroenterology,pc
Po Box 209
Wickatunk
NJ 07765-0209

Ph: (732) 525-0600
Garden State Gastroenterology,pc
200 Perrine Rd
Suite 231
Old Bridge
NJ 08857-2842

Ph: (732) 525-0600

NPI Details:

NPI Number1215124524
Provider Enumeration Date10/01/2007
Last Update Date10/01/2007

Medicare PECOS Information:

Medicare PECOS PAC ID1658356498
Medicare Enrollment IDO20040624000012

Medical Identifiers

Medical identifiers for Garden State Gastroenterology,pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215124524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MA59602 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Garden State Gastroenterology,pc acts as a billing entity for following providers:
Provider NameSeema Handa Nayyar
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1144295445
PECOS PAC ID: 1456257153
Enrollment ID: I20040116000232
Provider NameSanjeev Nayyar
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1033193628
PECOS PAC ID: 4284629247
Enrollment ID: I20040423000199
Provider NameJohn A Renda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447227566
PECOS PAC ID: 0941493043
Enrollment ID: I20101021000640
Provider NameLucy Rivilis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225471568
PECOS PAC ID: 7012157951
Enrollment ID: I20130717000297

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.