Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sparta Gastroenterology LLC

Organization Gastroenterology Physician · NPI 1245424696

Sparta Gastroenterology LLC provides Gastroenterology Physician services in Sparta, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

376 Lafayette Rd Ste 101
Sparta, NJ 07871 Not confirmed with CMS for 18 years — call before visiting
Phone: (973) 579-3174
Fax: (973) 579-2961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 25MA065097 (NJ)

Record details

NPI number1245424696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dmitry Mysh — Md Owner · (973) 579-3174
NPI enumeratedAugust 29, 2007
Last updated in NPPESDecember 3, 2007
Mailing address376 Lafayette Rd, Suite 101, Sparta, NJ 07871-3560

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