Pavonia Gastroenterology LLC
NPI 1508071002ActiveOrganization· Internal Medicine, Gastroenterology· Jersey City, NJ
Internal Medicine, Gastroenterology in Jersey City, New Jersey, registered in NPPES in May 2007. The authorized official on file is Paul M. Stoopack, MD, President.
Overview
| NPI | 1508071002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | MA05631200 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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