Individual provider Active NPI

Terry Ann Gubitosi, MD

  • Pediatrics Physician
  • Reading, PA
National Provider Identifier
1174530679
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD045624L Issued in PA
Practice address
2500 Bernville Rd
Reading, PA 19605-9453
Phone
(610) 378-2000
Fax
(610) 378-2799
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA04760200 NJ
Neonatal-Perinatal Medicine Physician 2080N0001X MD045624L PA
Neonatal-Perinatal Medicine Physician 2080N0001X 25MA04760200 NJ
Hospitalist Physician 208M00000X MA04760200 NJ
Pediatrics Physician 208000000X MD045624L PA Primary

Addresses

Primary practice location

2500 Bernville Rd
Reading, PA 19605-9453

Mailing address

PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4200

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 2

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 845-0100

Other identifiers 2

IdentifierTypeStateIssuer
1217305MedicaidNJ
001263632MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041207000714 PA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2264498609 Reassigns benefits to 3 organizations
I20110517000019 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2264498609 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA04760200NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childen'S Health Care Associates Inc. CurrentSince May 16, 2016 Accepting new patients
Childrens Health Care Associates, Inc Pediatrics Current Accepting new patients
Plainfield Emergency Physicians, PA CurrentSince Sep 1, 2018 Accepting new patients
Nemours New Jersey Physician Practice, P.C. Pediatrics CurrentSince Dec 1, 2019 Accepting new patients
Middlesex Emergency Physicians, P.a. CurrentSince Sep 1, 2018 Accepting new patients
St. Joseph Medical Group CurrentSince Nov 6, 2020 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. CurrentSince May 1, 2013 Accepting new patients
Childrens Health Care Associates, Inc CurrentSince May 16, 2016 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. CurrentSince May 1, 2013 Accepting new patients
St. Joseph Medical Group Pediatrics Current Accepting new patients
PM Pediatrics of Delaware PA Pediatrics Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • Direct secure messaging: terry.gubitosi@pmuc.eclinicaldirectplus.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1174530679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2000",
            "fax_number": "610-378-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-845-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUBITOSI",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04760200",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD045624L",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA04760200",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "MA04760200",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD045624L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217305",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001263632",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.