Jerry Gotlieb, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD007482E Issued in PA

Practice address

1313 Dekalb St
Norristown, PA 19401-3403

Phone

(610) 272-1881

Fax

(610) 275-8819

NPI assigned

Aug 30, 2005

Last updated

Mar 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1336132968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 DEKALB ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013403",
            "telephone_number": "610-272-1881",
            "fax_number": "610-275-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DEKALB ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013403",
            "telephone_number": "610-272-1881",
            "fax_number": "610-275-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTLIEB",
        "first_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD007482E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006467000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Robert Goodlev, MD
• Beverly M Gordon, PT
• Judith Gordon, M.D.
• Michelle Druker Gorenberg, MS, OTR/L
• James Gorman
• Kayla M Gottstein, PHARM.D.
• Elio Albert Gould
• Jackalyn L Gowder
• Frank Leonard Grabuski
• Grace Divine Homecare LLC

• Urology Physician in Norristown, PA
• Providers in Norristown, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.