Easter Gau LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC007932 Issued in PA

Legal business name

EASTER GAU LLC

Practice address

309 S 43Rd St
Philadelphia, PA 19104-4017

Phone

(267) 516-6600

NPI assigned

Oct 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Easter Gau, MS

Title

President

Phone

(215) 882-1442

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1013389477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 STOTESBURY AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387440",
            "telephone_number": "215-882-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S 43RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044017",
            "telephone_number": "267-516-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER GAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "GAU",
        "authorized_official_first_name": "EASTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-882-1442",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC007932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.