Organization Active NPI

Generalhealthgroup of Pennsylvania

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisburg, PA
National Provider Identifier
1306623111
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GENERALHEALTHGROUP OF PENNSYLVANIA
Practice address
2040 Linglestown Rd Ste 109
Harrisburg, PA 17110-9568
Phone
(646) 907-6299
NPI assigned
Sep 14, 2023
Organization subpart
Yes
Parent organization
GENERALHEALTH GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Ruth Berenstein
Title
MNG Director
Phone
(502) 686-0096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2040 Linglestown Rd Ste 109
Harrisburg, PA 17110-9568

Mailing address

244 5TH Ave # L270
New York, NY 10001-7604
Phone (646) 907-6299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1306623111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 5TH AVE # L270",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "646-907-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 LINGLESTOWN RD STE 109",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109568",
            "telephone_number": "646-907-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERALHEALTHGROUP OF PENNSYLVANIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENERALHEALTH GROUP INC",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "BERENSTEIN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "MNG DIRECTOR",
        "authorized_official_telephone_number": "502-686-0096"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.