Organization
GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW JERSEY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
205 BROWERTOWN RD STE 102, WOODLAND PARK, NJ 07424-2610
(973) 890-4780
(973) 890-1097
Mailing address
1A BURTON HILLS BLVD STE 300, NASHVILLE, TN 37215-6153
(615) 240-3741
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0574486
AETNA
NJ
01
—
110129466
RAILROAD MEDICARE
NJ
01
—
311075
BLUE CROSS BLUE SHIELD
NJ
01
—
449095
CIGNA HEALTHCARE
NJ
01
—
A395291
OXFORD HEALTH PLANS
NJ
01
—
IL9983
HEALTHNET
NJ
Enumeration date
04/26/2006
Last updated
09/24/2025
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