Organization Active NPI

The Graduate Hospital Gastroenterology Associates, P.C.

  • Gastroenterology Physician
  • Philadelphia, PA
National Provider Identifier
1477561595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
THE GRADUATE HOSPITAL GASTROENTEROLOGY ASSOCIATES, P.C.
Practice address
1800 Lombard St
Suite 100, Pepper Pavilion
Philadelphia, PA 19146-8400
Phone
(215) 893-2532
Fax
(215) 893-2496
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Anastasia Mylonas
Title
Office Administrator
Phone
(215) 893-5953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1800 Lombard St
Suite 100, Pepper Pavilion
Philadelphia, PA 19146-8400

Mailing address

1800 Lombard St
Suite 100, Pepper Pavilion
Philadelphia, PA 19146-8400
Phone (215) 893-2532

Other names 1

  • G.I. ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Lombard St
Ste 100
Philadelphia, PA 19146
Phone (215) 893-2532

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477561595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST",
            "address_2": "SUITE 100, PEPPER PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191468400",
            "telephone_number": "215-893-2532",
            "fax_number": "215-893-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST",
            "address_2": "SUITE 100, PEPPER PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191468400",
            "telephone_number": "215-893-2532",
            "fax_number": "215-893-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GRADUATE HOSPITAL GASTROENTEROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYLONAS",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-893-5953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G.I. ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.