Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Garden State Gastroenterology,PC

Gastroenterology Physician in Old Bridge, NJ · enumerated 2007 · authorized official Tracey Drevelus Hom, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215124524

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Registry record

Entity type Organization (Type 2)

Legal business name Garden State Gastroenterology,PC

Practice address 200 Perrine Rd, Suite 231, Old Bridge, NJ, 08857

Phone (732) 525-0600

Fax (732) 525-9777

Enumeration date Oct 1, 2007

Last updated in NPPES Oct 1, 2007

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License MA59602 (NJ) Primary

Authorized official

Name Tracey Drevelus Hom

Title Office Manager

Phone (732) 525-0600

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Garden State Gastroenterology,PC located?

The practice location on file with NPPES is in Old Bridge, NJ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-01. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-01.