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Sparta Gastroenterology LLC

Gastroenterology Physician in Sparta, NJ · enumerated 2007 · authorized official Dmitry Mysh, MD Owner.

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

National Provider Identifier

1245424696

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Registry record

Entity type Organization (Type 2)
Legal business name Sparta Gastroenterology LLC
Practice address 376 Lafayette Rd, Suite 101, Sparta, NJ, 07871
Phone (973) 579-3174
Fax (973) 579-2961
Enumeration date Aug 29, 2007
Last updated in NPPES Dec 3, 2007

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 25MA065097 (NJ) Primary

Authorized official

Name Dmitry Mysh
Title MD Owner
Phone (973) 579-3174

Other identifiers

Identifier Type State Issuer
8503206 Medicaid NJ -

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.

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Frequently asked questions

What is the NPI number for Sparta Gastroenterology LLC?
The NPI for Sparta Gastroenterology LLC is 1245424696, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sparta Gastroenterology LLC?
NPPES lists Dmitry Mysh (MD Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-03.