Individual provider Active NPI

Gardini Jefferson Jean Gilles, MD

  • Student in an Organized Health Care Education/Training Program
  • Beaver Falls, PA
National Provider Identifier
1225832843
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1125 7TH Ave
Beaver Falls, PA 15010-4426
Phone
(724) 773-8995
NPI assigned
Apr 2, 2025
Last updated
May 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA Primary

Addresses

Primary practice location

1125 7TH Ave
Beaver Falls, PA 15010-4426

Mailing address

45 Tudor St Apt 8
Lynn, MA 01902-4696
Phone (781) 346-4073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250805004358 PA Order and Referring Only - Family PracticePractitioner - Family Practice 8820506272

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: gardinijeangilles@hvhs.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1225832843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TUDOR ST APT 8",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024696",
            "telephone_number": "781-346-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 7TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104426",
            "telephone_number": "724-773-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN GILLES",
        "first_name": "GARDINI",
        "middle_name": "JEFFERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.