Organization
NORTH JERSEY GASTROENTEROLOGY ASSOCIATES, P.A.
Active
Other names
North Jersey Gastroenterology Associates, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CRAIG FISKE M.D. (OWNER/PRESIDENT)
(973) 325-5775
Entity
Organization
Contact information
Practice address
1500 PLEASANT VALLEY WAY, SUITE 306, WEST ORANGE, NJ 07052-2956
(973) 325-5775
(973) 325-5770
Mailing address
1500 PLEASANT VALLEY WAY, SUITE 306, WEST ORANGE, NJ 07052-2956
(973) 325-5775
(973) 325-5770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA34473
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041150
AETNA HMO
NJ
01
—
0068449700
AMERIHEALTH
NJ
01
—
1019473-001
CIGNA HMO
NJ
01
—
1072840
HORIZON NJ HEALTH
NJ
01
—
21626
UHP
NJ
05
—
2939100
—
NJ
01
—
31D0105815
CLIA #
NJ
01
—
4093402
AETNA
NJ
01
—
654866
UNITED HEALTHCARE
NJ
01
—
80847
AMERICHOICE
NJ
01
—
BS008
OXFORD
NJ
01
—
HUL00021200
AMERICHOICE OF NJ
NJ
01
—
OK5988
HEALTHNET
NJ
Enumeration date
07/15/2006
Last updated
07/07/2016
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