NPIMap

Organization Active NPI

Andrew T Gergely, MD & Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dunkirk, MD
National Provider Identifier
1033134341
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ANDREW T GERGELY, MD & ASSOCIATES, LLC
Practice address
3175 W Ward Rd
#200
Dunkirk, MD 20754-3020
Phone
(410) 286-0664
Fax
(410) 286-2834
NPI assigned
Jul 13, 2006
Last updated
Jul 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Andrew T Gergely, M.D.NPI 1336144831
Title
Owner
Phone
(410) 286-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3175 W Ward Rd
#200
Dunkirk, MD 20754-3020

Mailing address

3175 W Ward Rd
#200
Dunkirk, MD 20754-3020
Phone (410) 286-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811001043 MD Part B Supplier - Clinic/Group Practice 1456323237 Receives reassigned benefits from 17 practitioners
Practice locations: Dunkirk, MD

National Provider Directory

National Provider Directory
Tax ID family
Andrew T Gergely MD Associates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2021 Chaneyville Rd
Ste 102
Owings, MD 20736
Phone (410) 286-0664

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1033134341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 W WARD RD",
            "address_2": "#200",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543020",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 W WARD RD",
            "address_2": "#200",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543020",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW T GERGELY, MD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "GERGELY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-286-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.