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

Garden State Gastroenterology, PC

Organization Gastroenterology Physician · NPI 1215124524

Garden State Gastroenterology, PC is a Gastroenterology Physician in Old Bridge, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Perrine Rd Ste 231
Old Bridge, NJ 08857-2842
Phone: (732) 525-0600
Fax: (732) 525-9777
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MA59602 (NJ)

Record details

NPI number1215124524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Drevelus Hom — Office Manager · (732) 525-0600
NPI enumeratedOctober 1, 2007
Last updated in NPPESOctober 1, 2007
Mailing addressPo Box 209, Wickatunk, NJ 07765-0209

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