Gergely Pediatrics PC
Organization Active NPI Pediatrics Physician · Garrison, NY
NPI 1154405652 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154405652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 160282 (NY)
- Legal business name
- GERGELY PEDIATRICS PC
- Practice address
- 34 Route 403
Garrison, NY 10524 - Phone
- (845) 424-4444
- Fax
- (845) 424-4664
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Ann Gergely
- Title
- Business MGR Secretary of Corp
- Phone
- (845) 424-4444
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0871629 | Gergely Pediatrics | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
Locations
34 Route 403
Garrison, NY 10524
Phone (845) 424-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 160282 | NY | Yes |
Addresses
Primary practice location
34 Route 403
Garrison, NY 10524
Mailing address
34 Route 403
Garrison, NY 10524
Phone (845) 424-4444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01147979 | Medicaid | NY |
Other providers in Garrison, NY
- Alane Gahagan
- Garrison Union Free School District
- Garrison Volunteer Ambulance Corp
- David P Gerber
- Sezelle Gereau
- Peter E Gergely
- Jessica Golde
- Sofia Granieri
- Brian Hakoun
- Stuart Hakoun
All providers in Garrison, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.