Advanced Gastroenterology, PA
NPI 1164739447ActiveOrganization· Internal Medicine, Gastroenterology· West Orange, NJ
Internal Medicine, Gastroenterology in West Orange, New Jersey, registered in NPPES in September 2010. The authorized official on file is Glen R. Mogan, MD, Owner.
Overview
| NPI | 1164739447 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2010 |
| Last updated in NPPES | Sep 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 25MA037333 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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