Active NPI
Allen S Gabroy, MD
- Surgery Physician
- Ridley Park, PA
National Provider Identifier
1154301257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD013691
- Practice address
- 204 E Chester Pike
Ridley Park, PA 19078-1730 - Phone
- (610) 521-4833
- Fax
- (610) 521-2651
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD013691 | PA | Primary |
Addresses
Primary practice location
204 E Chester Pike
Ridley Park, PA 19078-1730
Mailing address
204 E Chester Pike
Ridley Park, PA 19078-1730
Phone (610) 521-4833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006985460001 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD013691 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Surgical Associates,LTD | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Ridley Park, PA
- NPI 1194765883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154301257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190781730",
"telephone_number": "610-521-4833",
"fax_number": "610-521-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E CHESTER PIKE",
"city": "RIDLEY PARK",
"state": "PA",
"postal_code": "190781730",
"telephone_number": "610-521-4833",
"fax_number": "610-521-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABROY",
"first_name": "ALLEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD013691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006985460001",
"state": "PA"
}
],
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.