NPI

Garden State Gastroenterology,pc

NPI 1215124524

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-10-01
Last updated
2007-10-01

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Specialties

Licenses

License NJ
MA59602

Location

Practice location
200 Perrine Rd, Suite 231
City
Old Bridge NJ
Postal code
08857-2842
Phone
(732) 525-0600

Organization contact

Name
Tracey Drevelus Hom
Title
Office Manager
Phone
(732) 525-0600

Medicare

PECOS
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LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Old Bridge, NJ. 906 records in the public file.

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