Individual provider Active NPI

Robert Jay Gastfriend, M.D.

  • Surgery Physician
  • Rockledge, PA
National Provider Identifier
1437101730
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD031235E Issued in PA
Practice address
16 Shady LN
Rockledge, PA 19046-4263
Phone
(215) 379-6789
Fax
(215) 379-5510
NPI assigned
May 16, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD031235E PA Primary

Addresses

Primary practice location

16 Shady LN
Rockledge, PA 19046-4263

Mailing address

16 Shady LN
Rockledge, PA 19046-4263
Phone (215) 379-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1437101730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SHADY LN",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464263",
            "telephone_number": "215-379-6789",
            "fax_number": "215-379-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SHADY LN",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464263",
            "telephone_number": "215-379-6789",
            "fax_number": "215-379-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTFRIEND",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD031235E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.