Provider Demographics
NPI:1679512941
Name:GORCEY, STEVEN ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALAN
Last Name:GORCEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 937
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-0937
Mailing Address - Country:US
Mailing Address - Phone:732-597-7333
Mailing Address - Fax:732-597-7333
Practice Address - Street 1:145 WYCKOFF RD STE 201
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1888
Practice Address - Country:US
Practice Address - Phone:732-597-7333
Practice Address - Fax:732-597-7333
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA55813207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5001005Medicaid
NJ661700C1JMedicare PIN
NJ5001005Medicaid