Active NPI
Gill R Alderfer, MD
- Gynecology Physician
- Ridley Park, PA
National Provider Identifier
1104903608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD016127E
- Practice address
- 100 E Chester Pike
Ridley Park, PA 19078-1703 - Phone
- (610) 521-4311
- Fax
- (610) 521-5995
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD016127E | PA | Primary |
Addresses
Primary practice location
100 E Chester Pike
Ridley Park, PA 19078-1703
Mailing address
123 Mansion Dr
Media, PA 19063-1019
Phone (610) 566-5392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016127E | PA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104903608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MANSION DR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631019",
"telephone_number": "610-566-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190781703",
"telephone_number": "610-521-4311",
"fax_number": "610-521-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDERFER",
"first_name": "GILL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PA",
"license": "MD016127E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridley Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.