ADVANCED GASTROENTEROLOGY OF NORTHERN NJ LLC — NPI 1821564634 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in OCEAN CITY, NJ)

CMS-1500 Box 24J / 33a • NPI

1821564634

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM1300X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

15 ARKANSAS AVE, OCEAN CITY, NJ, 08226-2962

✓ 9-Digit EDI 837 ZIP+4 (08226-2962)

Practice Phone & Referral Fax

(609) 382-0111

Fax: (201) 255-0668

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821564634 (ADVANCED GASTROENTEROLOGY OF NORTHERN NJ LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821564634` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED GASTROENTEROLOGY OF NORTHERN NJ LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM1300X` (Clinic/Center, Multi-Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	15 ARKANSAS AVE, OCEAN CITY, NJ, 08226-2962
Practice Telephone / Fax	Tel: (609) 382-0111 \| Fax: (201) 255-0668
Administrative Mailing Address	15 ARKANSAS AVE, OCEAN CITY, NJ, 08226-2962
Enumeration & Last Sync	Enumerated: 2018-10-18 \| CMS Record Updated: 2022-08-09
Authorized Official	BRIAN BERBERIAN (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15 ARKANSAS AVE, OCEAN CITY, NJ, 08226-2962

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Plain-English Taxonomy & CMS Crosswalk (261QM1300X)

What Does Taxonomy Code 261QM1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED GASTROENTEROLOGY OF NORTHERN NJ LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RG0100X` — Internal Medicine, Gastroenterology Plain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED GASTROENTEROLOGY OF NORTHERN NJ LLC (NPI #1821564634)