Organization Active NPI

Dr Jerry Ginsberg PA

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1265443840
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR JERRY GINSBERG PA
Practice address
2000 N Front St
Philadelphia, PA 19122-1703
Phone
(215) 426-3447
Fax
(215) 635-1280
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Jerry Ginsberg, DO
Title
President
Phone
(215) 426-3447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2000 N Front St
Philadelphia, PA 19122-1703

Mailing address

2000 N Front St
Philadelphia, PA 19122-1703
Phone (215) 426-3447

Other identifiers 1

IdentifierTypeStateIssuer
01457814MedicaidPA

National Provider Directory

National Provider Directory

Locations

3150 Willits Rd
Philadelphia, PA 19136
Phone (215) 426-3447

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1265443840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221703",
            "telephone_number": "215-426-3447",
            "fax_number": "215-635-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221703",
            "telephone_number": "215-426-3447",
            "fax_number": "215-635-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JERRY GINSBERG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "GINSBERG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-426-3447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01457814",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.