Gunjan Rastogi-Wilson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP012453 Issued in PA

Practice address

1939 W Cheltenham Ave
Elkins Park, PA 19027-1046

Phone

(215) 884-5715

Fax

(215) 884-1442

NPI assigned

Mar 18, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: grastogi-wilson@tricountypeds.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SCHC Pediatric Associates, LLC

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1255363578
  NPD (past)
• Tri-County Pediatrics, Inc

  • Pediatrics Physician
  • Elkins Park, PA
  • NPI 1235176397
  NPD (past)
• True North Medical Group, LLC

  • Family Medicine Physician
  • Abington, PA
  • NPI 1811477573
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1336481357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271046",
            "telephone_number": "215-884-5715",
            "fax_number": "215-884-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271046",
            "telephone_number": "215-884-5715",
            "fax_number": "215-884-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 Grove Ave Unit 1",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189666009",
            "country_code": "US",
            "telephone_number": "215-322-0800",
            "fax_number": "215-322-2073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Butler Ave",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143022",
            "country_code": "US",
            "telephone_number": "215-822-1770",
            "fax_number": "215-822-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9121 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191142204",
            "country_code": "US",
            "telephone_number": "215-676-5577",
            "fax_number": "215-676-2485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Butler Ave",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143022",
            "country_code": "US",
            "telephone_number": "215-822-1770",
            "fax_number": "215-822-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Butler Ave",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143022",
            "country_code": "US",
            "telephone_number": "215-822-1770",
            "fax_number": "215-822-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Butler Ave",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143022",
            "country_code": "US",
            "telephone_number": "215-822-1770",
            "fax_number": "215-822-5232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Newtown Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189745207",
            "country_code": "US",
            "telephone_number": "215-672-7272",
            "fax_number": "215-672-7042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 Huntingdon Pike",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190068371",
            "country_code": "US",
            "telephone_number": "215-379-3022",
            "fax_number": "215-379-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTOGI-WILSON",
        "first_name": "GUNJAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paterina Patricia Ralph, LPN
• Marlyn Saray Ramos Lamboy, M.D.
• Rapa Care, Inc
• Chari M Raphael, PT
• Anna M Raport, MFT
• Reboot Integrative Wellness Center
• Ambria Reid
• Renew Family Services, LLC
• Resilience Community Counseling LLC
• Melvyn Paul Richter, M.D.

• Family Nurse Practitioner in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.