Organization
GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ANDREANO (CREDENTIALING SPECIALIST)
(973) 785-2277
Entity
Organization
Contact information
Practice address
1130 MCBRIDE AVE, WOODLAND PARK, NJ 07424-3806
(973) 812-1400
(973) 812-1404
Mailing address
1130 MCBRIDE AVE, WOODLAND PARK, NJ 07424-3806
(973) 812-1400
(973) 812-1404
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175714
—
NJ
01
—
1945759
AETNA HMO GROUP NUMBER
NJ
01
—
3533132000
AMERIHEALTH GROUP NUMBER
NJ
01
—
9341206
AETNA PPO GROUP NUMBER
NJ
Enumeration date
01/24/2008
Last updated
08/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us