NPIMap

Organization Active NPI

Penn Valley Anesthesia

Doing business as Penn Valley Anesthesia Providers

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1497771380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD026023E Issued in PA
Legal business name
PENN VALLEY ANESTHESIA
Doing business as
Penn Valley Anesthesia Providers
Practice address
230 W Washington SQ
4TH Floor
Philadelphia, PA 19106-3500
Phone
(856) 358-4520
Fax
(856) 358-8053
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Marc D Gellman, M.D.
Title
Owner
Phone
(856) 358-4520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD026023E PA Primary

Addresses

Primary practice location

230 W Washington SQ
4TH Floor
Philadelphia, PA 19106-3500

Mailing address

PO Box 874
Elmer, NJ 08318-0874
Phone (856) 358-4520

Other identifiers 1

IdentifierTypeStateIssuer
1741139OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Penn Valley Anesthesia Providers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497771380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "ELMER",
            "state": "NJ",
            "postal_code": "083180874",
            "telephone_number": "856-358-4520",
            "fax_number": "856-358-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W WASHINGTON SQ",
            "address_2": "4TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063500",
            "telephone_number": "856-358-4520",
            "fax_number": "856-358-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN VALLEY ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELLMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-358-4520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD026023E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1741139",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Valley Anesthesia Providers",
            "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.