Garden State Gastroenterology,pc
NPI 1215124524ActiveOrganization· Internal Medicine, Gastroenterology· Old Bridge, NJ
Internal Medicine, Gastroenterology in Old Bridge, New Jersey, registered in NPPES in October 2007. The authorized official on file is Tracey Drevelus Hom, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215124524 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2007 |
| Last updated in NPPES | Oct 1, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | MA59602 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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