NPIMap

Organization Active NPI

Pickering Family Practice

  • Family Medicine Physician
  • Exton, PA
National Provider Identifier
1093728453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004818L Issued in PA
Legal business name
PICKERING FAMILY PRACTICE
Practice address
605 Gordon Dr
Exton, PA 19341-1287
Phone
(610) 363-0248
Fax
(610) 363-4004
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gabriel Ruggiero, D.O.NPI 1912910373
Title
Doctor
Phone
(610) 363-0248

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS004818L PA Primary

Addresses

Primary practice location

605 Gordon Dr
Exton, PA 19341-1287

Mailing address

605 Gordon Dr
Exton, PA 19341-1287
Phone (610) 363-0248

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093728453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411287",
            "telephone_number": "610-363-0248",
            "fax_number": "610-363-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411287",
            "telephone_number": "610-363-0248",
            "fax_number": "610-363-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKERING FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUGGIERO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-363-0248",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004818L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.