Organization Active NPI

Gergely Pediatrics PC

  • Pediatrics Physician
  • Garrison, NY
National Provider Identifier
1154405652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
160282 Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Ann Gergely
Title
Business MGR Secretary of Corp
Phone
(845) 424-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 160282 NY Primary

Addresses

Primary practice location

34 Route 403
Garrison, NY 10524

Mailing address

34 Route 403
Garrison, NY 10524
Phone (845) 424-4444

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0871629Gergely Pediatrics34 Route 403, Garrison, NY 10524Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154405652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ROUTE 403",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "10524",
            "telephone_number": "845-424-4444",
            "fax_number": "845-424-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 ROUTE 403",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "10524",
            "telephone_number": "845-424-4444",
            "fax_number": "845-424-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERGELY PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERGELY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MGR SECRETARY OF CORP",
        "authorized_official_telephone_number": "845-424-4444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "160282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, NY

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.