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

Mid State Gastroenterology LLC

Organization Specialist · NPI 1235472424

Mid State Gastroenterology LLC is a Specialist in Freehold, New Jersey. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 W Main St Ste 111
Freehold, NJ 07728-2555
Phone: (732) 800-8950
Fax: (732) 800-8951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1235472424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Ludwig — President/Owner · (732) 800-8950
NPI enumeratedApril 5, 2013
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address800 W Main St Ste 111, Freehold, NJ 07728-2555

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