Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Gastroenterology, PA

Organization Gastroenterology Physician · NPI 1164739447

Advanced Gastroenterology, PA is a Gastroenterology Physician in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

741 Northfield Ave Ste 204
West Orange, NJ 07052
Phone: (973) 731-8686
Fax: (973) 731-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 25MA037333 (NJ)

Record details

NPI number1164739447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Mogan — Owner · (973) 731-8686
NPI enumeratedSeptember 8, 2010
Last updated in NPPESSeptember 8, 2010
Mailing address741 Northfield Avenue, Suite 204, West Orange, NJ 07052

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