Jeffrey Anthony Gubicza Jr.

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

110 Cardinal Dr
Conshohocken, PA 19428-1391

Phone

(484) 343-2930

NPI assigned

May 18, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1023709102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CARDINAL DR",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281391",
            "telephone_number": "484-343-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARDINAL DR",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281391",
            "telephone_number": "484-343-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBICZA",
        "first_name": "JEFFREY",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Gordon
• William Thomas Gorman
• Gotyourback
• Kathleen Mary Grady, APRN-BC,FNP
• Bryant Greer, RBT
• Joyce E Hanna, MSS LCSW
• Erica Hatten
• Healing Hands-a Chiropractic & Wellness Center, Inc
• Healthcare Device Solutions LLC
• Barbara G. Hedges-Hoffman, ED.D (ABS), ME.D.

• Health & Wellness Coach in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Health & Wellness Coach in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.