Garden State Gastroenterology,pc
NPI 1215124524 · Gastroenterology Physician · Old Bridge, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Garden State Gastroenterology,pc is a Gastroenterology Physician organization in Old Bridge, NJ (NPI 1215124524).
Provider details
- NPI number
- 1215124524
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracey Drevelus Hom, Office Manager(732) 525-0600
- License
- MA59602 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2007-10-01
Frequently asked questions
- What is Garden State Gastroenterology,pc's NPI number?
- Garden State Gastroenterology,pc's National Provider Identifier (NPI) is 1215124524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Garden State Gastroenterology,pc?
- Garden State Gastroenterology,pc is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Garden State Gastroenterology,pc located?
- Garden State Gastroenterology,pc's practice location on file with NPPES is 200 Perrine Rd, Old Bridge, NJ 08857-2842.
- What is Garden State Gastroenterology,pc's phone number?
- The practice phone number listed in the NPPES registry for Garden State Gastroenterology,pc is (732) 525-0600.
- Does Garden State Gastroenterology,pc accept Medicare?
- Garden State Gastroenterology,pc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Garden State Gastroenterology,pc?
- The authorized official listed on Garden State Gastroenterology,pc's NPPES record is Tracey Drevelus Hom, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Garden State Gastroenterology,pc's NPI active?
- Yes — Garden State Gastroenterology,pc's NPI (1215124524) is active in the NPPES registry as of the last update on 2007-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.