Gary T Morreale

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS026806L Issued in PA

Practice address

300 Schuylkill Rd
Phoenixville, PA 19460-5202

Phone

(610) 933-7001

Fax

(610) 983-9268

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1245488238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SCHUYLKILL RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605202",
            "telephone_number": "610-933-7001",
            "fax_number": "610-983-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCHUYLKILL RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605202",
            "telephone_number": "610-933-7001",
            "fax_number": "610-983-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORREALE",
        "first_name": "GARY",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS026806L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A David Monheit, M.D.
• Dennis Tosti Monteiro, MD
• Sondra Rae Moore, MA, LPC
• Jan Morabito
• Suzane Santos Morabito, RDN
• Jamilla Morrison, NURSE
• Jeanette M Morrison, DO
• Paula Frances Mortillaro, M.A.
• Joanne T. Moser, MSN, CRNP
• Suzanne P. Mosier, LPN

• Endodontics in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.