Individual provider Active NPI

Gerald H Skobinsky, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Elkins Park, PA
National Provider Identifier
1235109489
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS002823L Issued in PA
Practice address
7301 Coventry Ave
Apt 209
Elkins Park, PA 19027-2946
Phone
(215) 635-5899
Fax
(215) 635-0308
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS002823L PA Primary

Addresses

Primary practice location

7301 Coventry Ave
Apt 209
Elkins Park, PA 19027-2946

Mailing address

7301 Coventry Ave
Apt 209
Elkins Park, PA 19027-2946
Phone (215) 635-5899

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 Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1235109489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 COVENTRY AVE",
            "address_2": "APT 209",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272946",
            "telephone_number": "215-635-5899",
            "fax_number": "215-635-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 COVENTRY AVE",
            "address_2": "APT 209",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272946",
            "telephone_number": "215-635-5899",
            "fax_number": "215-635-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOBINSKY",
        "first_name": "GERALD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS002823L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.