Robert Jay Gastfriend, M.D.
Individual provider Active NPI Surgery Physician · Rockledge, PA
NPI 1437101730 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1437101730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD031235E (PA)
- Practice address
- 16 Shady LN
Rockledge, PA 19046-4263 - Phone
- (215) 379-6789
- Fax
- (215) 379-5510
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD031235E | PA | Yes |
Addresses
Primary practice location
16 Shady LN
Rockledge, PA 19046-4263
Mailing address
16 Shady LN
Rockledge, PA 19046-4263
Phone (215) 379-6789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0085917000 | Other | PA | KEYSTONE |
| 001086912003 | Medicaid | PA | |
| 164051 | Other | PA | HIGHMARK BLUE SHIELD |
| 55207 | Other | PA | AETNA |
Other providers in Rockledge, PA
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- Aasia Ferdous
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- George E. Widhson, LLC
- Marquita Kalithia Green
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- Brad Douglas Hirschhorn
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All providers in Rockledge, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.