Provider Demographics
NPI:1265468128
Name:ADVANCED GASTROENTEROLOGY OF BERGEN COUNTY, P.A.
Entity Type:Organization
Organization Name:ADVANCED GASTROENTEROLOGY OF BERGEN COUNTY, P.A.
Other - Org Name:A G B C ENDOCOPY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:ZINGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-945-6564
Mailing Address - Street 1:140 SYLVAN AVE
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2514
Mailing Address - Country:US
Mailing Address - Phone:201-945-6564
Mailing Address - Fax:201-461-9038
Practice Address - Street 1:140 SYLVAN AVENUE
Practice Address - Street 2:SUITE 101B
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2514
Practice Address - Country:US
Practice Address - Phone:201-945-6564
Practice Address - Fax:201-461-9038
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED GASTROENTEROLOGY OF BERGEN COUNTY, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-23
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCE8412OtherRAILROAD MEDICARE
003651OtherEMPIRE BCBS
A483891OtherOXFORD
460882OtherAETNA
311049Medicare PIN
A483891OtherOXFORD