| The Gastroenterology Group Of Northern New Jersey,llc | |
|
420 Grand Ave Suite 101 Englewood NJ 07631-4152 | |
| (201) 569-7044 | |
| (201) 569-1999 |
| Full Name | The Gastroenterology Group Of Northern New Jersey,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Ivan A Friedrich (PHYSICIAN/BOARD OF GOVERNORS) |
| Authorized Official Contact | 2015697044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gastroenterology Group Of Northern New Jersey,llc 420 Grand Ave Suite 101 Englewood NJ 07631 Ph: (201) 569-7044 | The Gastroenterology Group Of Northern New Jersey,llc 420 Grand Ave Suite 101 Englewood NJ 07631-4152 Ph: (201) 569-7044 |
| NPI Number | 1073944005 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/10/2013 |
| Medicare PECOS PAC ID | 5890019137 |
|---|---|
| Medicare Enrollment ID | O20150115001388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073944005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA03997000 (New Jersey) | Primary |
| Provider Name | Leslie B Borow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336128487 PECOS PAC ID: 2466449830 Enrollment ID: I20040428000087 |
| Provider Name | David Moskowitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902855638 PECOS PAC ID: 7315851466 Enrollment ID: I20050120000597 |
| Provider Name | John Lui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407836364 PECOS PAC ID: 1355395955 Enrollment ID: I20050310000263 |
| Provider Name | David Garfunkel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013969534 PECOS PAC ID: 8123932993 Enrollment ID: I20050310000515 |
| Provider Name | Robert B Simon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992901052 PECOS PAC ID: 7416048855 Enrollment ID: I20070814000456 |
| Provider Name | Irina Kaplounova |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548487432 PECOS PAC ID: 3870680879 Enrollment ID: I20071107000131 |
| Provider Name | Marc A Fiorillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477712636 PECOS PAC ID: 7719046143 Enrollment ID: I20081030000219 |
| Provider Name | Thomas Puzio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609073196 PECOS PAC ID: 7012009277 Enrollment ID: I20081105000661 |
| Provider Name | Viktor Baltaytis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932187085 PECOS PAC ID: 7719931310 Enrollment ID: I20091203000035 |
| Provider Name | Chul S Hyun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467540401 PECOS PAC ID: 6305976085 Enrollment ID: I20100607000151 |
| Provider Name | Wen Fan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457499543 PECOS PAC ID: 9638279359 Enrollment ID: I20100929001430 |
| Provider Name | Faraz A Syed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033264817 PECOS PAC ID: 1052504693 Enrollment ID: I20101015000197 |
| Provider Name | Jasminka Balderacchi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306822101 PECOS PAC ID: 5799675997 Enrollment ID: I20110106000430 |
| Provider Name | Vincent S Panella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841242393 PECOS PAC ID: 1153405816 Enrollment ID: I20110302000161 |
| Provider Name | Mark S Sapienza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619929874 PECOS PAC ID: 9335223098 Enrollment ID: I20110302000286 |
| Provider Name | Kenneth P Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851344618 PECOS PAC ID: 2062596729 Enrollment ID: I20110302000450 |
| Provider Name | Stephanie A Guillaume |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891936589 PECOS PAC ID: 8921280462 Enrollment ID: I20110304000561 |
| Provider Name | Ivan A Friedrich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306890165 PECOS PAC ID: 8426132184 Enrollment ID: I20110318000455 |
| Provider Name | Mitchell K Spinnell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194763177 PECOS PAC ID: 4385656073 Enrollment ID: I20110330000336 |
| Provider Name | Barry M Zingler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508808601 PECOS PAC ID: 2668484353 Enrollment ID: I20110415000037 |
| Provider Name | Richard K Chessler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881632404 PECOS PAC ID: 9335324177 Enrollment ID: I20110421000284 |
| Provider Name | Michael E Meininger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174567010 PECOS PAC ID: 5294747986 Enrollment ID: I20110427000185 |
| Provider Name | Bernard B Baez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053393751 PECOS PAC ID: 8820987225 Enrollment ID: I20110712000018 |
| Provider Name | Sandarsh R Kancherla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568641058 PECOS PAC ID: 3476791740 Enrollment ID: I20130528000236 |
| Provider Name | Margit Ida Kaufman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700157286 PECOS PAC ID: 4183858509 Enrollment ID: I20131017001168 |
| Provider Name | Louis Y Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073766143 PECOS PAC ID: 1759559602 Enrollment ID: I20131223000950 |
| Provider Name | Arielle J Friedman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972762482 PECOS PAC ID: 4789816497 Enrollment ID: I20140411001179 |
| Provider Name | Michael B Digiacomo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821389958 PECOS PAC ID: 1254556939 Enrollment ID: I20140714001963 |
| Provider Name | Sinisa Ivelja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205070471 PECOS PAC ID: 0941521355 Enrollment ID: I20150610000354 |
| Provider Name | Ofer Burshtain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376831297 PECOS PAC ID: 5991923104 Enrollment ID: I20150923001604 |
| Provider Name | Joshua M Schiffman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881954170 PECOS PAC ID: 1951610963 Enrollment ID: I20151014000644 |
| Provider Name | Yuhong Yan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861713414 PECOS PAC ID: 5799086781 Enrollment ID: I20151216001734 |
| Provider Name | Pascale Nadeau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780846337 PECOS PAC ID: 9436392230 Enrollment ID: I20160331001528 |
| Provider Name | Christine Beckwith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588925390 PECOS PAC ID: 0941597405 Enrollment ID: I20160927001503 |
| Provider Name | Jeny Y Ng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942567490 PECOS PAC ID: 9234427725 Enrollment ID: I20170823002427 |
| Provider Name | George I Lefkowitz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851734651 PECOS PAC ID: 8325331754 Enrollment ID: I20171208000021 |
| Provider Name | Eugene S Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164780797 PECOS PAC ID: 9739311556 Enrollment ID: I20180612001051 |
| Provider Name | Jack M Charney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881693745 PECOS PAC ID: 8820345812 Enrollment ID: I20180723000887 |
| Provider Name | Amita A Kulkarni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467742494 PECOS PAC ID: 2567713936 Enrollment ID: I20180924002757 |
| Provider Name | Joseph A Schwartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730592478 PECOS PAC ID: 1052661873 Enrollment ID: I20190808000646 |
| Provider Name | Theresa C Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619518453 PECOS PAC ID: 3870920242 Enrollment ID: I20200224002933 |
The Child Birth Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 South Van Brunt St, The Childbirth Center, Englewood, NJ 07631 Phone: 201-567-0810 Fax: 201-567-5771 | |
North Jersey Infectious Disease Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Grand Ave, Suite 102, Englewood, NJ 07631 Phone: 201-503-0660 Fax: 201-503-0685 | |
Vibrant Life Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 286 Engle St, Englewood, NJ 07631 Phone: 201-569-6190 Fax: 201-569-6940 | |
North Bergen Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Engle St, Suite 305, Englewood, NJ 07631 Phone: 347-331-9409 | |
Accurate Eyecare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 82 Grand Ave Fl 1, Englewood, NJ 07631 Phone: 201-871-3937 Fax: 201-871-6009 | |
Englewood Chiropractic Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Dean St, Englewood, NJ 07631 Phone: 201-567-0700 Fax: 201-567-3705 |