Individual provider Active NPI

Gail M Serruya, MD

  • Psychiatry Physician
  • Bala Cynwyd, PA
National Provider Identifier
1578625281
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD433121 Issued in PA
Practice address
191 Presidential Blvd
Bala Cynwyd, PA 19004-1207
Phone
(267) 439-1368
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD433121 PA Primary

Addresses

Primary practice location

191 Presidential Blvd
Bala Cynwyd, PA 19004-1207

Mailing address

405 Meadow LN
Merion Station, PA 19066-1332
Phone (267) 439-1368

Other practice location 1

3580 Indian Queen Ln Ste 102
Philadelphia, PA 19129-1540
Phone (267) 439-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251203004259 PA Practitioner - Psychiatry 0042577819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rush Medical College of Rush University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

191 Presidential Blvd
Bala Cynwyd, PA 19004-1207
Phone (215) 774-1306

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433121PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Healing PC Psychiatry CurrentSince Nov 14, 2025 Accepting new patients

Locations

191 Presidential Blvd
Ste LN24
Bala Cynwyd, PA 19004
Phone (215) 774-1306

3580 Indian Queen Ln
Ste 102
Philadelphia, PA 19129
Phone (267) 439-1368

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1578625281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MEADOW LN",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661332",
            "telephone_number": "267-439-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041207",
            "telephone_number": "267-439-1368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 Indian Queen Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291540",
            "country_code": "US",
            "telephone_number": "267-439-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRUYA",
        "first_name": "GAIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD433121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.