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

Bergen Gastroenterology P C

Organization Non-Pharmacy Dispensing Site · NPI 1801233176

Bergen Gastroenterology P C is a Non-Pharmacy Dispensing Site in Emerson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in
NJ
In the registry since
2013

Practice location Address checks out

466 Old Hook Rd Ste 1
Emerson, NJ 07630-1396
Phone: (201) 967-8221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 25MA05477400 (NJ)

Record details

NPI number1801233176
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Bergen Gastroenterology P.C. - Emerson
NPI enumeratedMay 28, 2013
Last updated in NPPESMay 28, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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