Individual provider Active NPI

Jillian Elaine Gansert, MD

  • Family Medicine Physician
  • Springfield, PA
National Provider Identifier
1568992626
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT213944 Issued in PA
Practice address
1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956
Phone
(610) 690-4471
Fax
(610) 690-4474
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT213944 PA Primary

Addresses

Primary practice location

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956

Mailing address

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956
Phone (610) 690-4471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002435 NJ Practitioner - Family Practice 8426442450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Cooper Medical School of Rowan University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

7 Myers Dr
Suite C
Mullica Hill, NJ 08062-9513
Phone (856) 241-2522

798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT213944PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince Apr 15, 2024 Accepting new patients
City of Philadelphia Current Accepting new patients

Locations

7 Myers Dr
Ste C
Mullica Hill, NJ 08062
Phone (856) 241-2522

134 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 478-2111

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

1101 Market St
Fl 10
Philadelphia, PA 19107

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568992626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643956",
            "telephone_number": "610-690-4471",
            "fax_number": "610-690-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE STE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643956",
            "telephone_number": "610-690-4471",
            "fax_number": "610-690-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSERT",
        "first_name": "JILLIAN",
        "middle_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT213944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.