Active NPI
Gary A. Emmett, MD
- Hospitalist Physician
- Philadelphia, PA
National Provider Identifier
1639257892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD019420E
- Practice address
- 833 Chestnut Street East, Suite 300
Jefferson Faculty Peds and Dupont Childrens HLTH Prog
Philadelphia, PA 19107-4405 - Phone
- (215) 861-8800
- Fax
- (215) 861-8815
- NPI assigned
- Nov 2, 2006
- Last updated
- Feb 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD019420E | PA | |
| General Practice Physician | 208D00000X | MD019420E | PA | |
| Hospitalist Physician | 208M00000X | MD019420E | PA | Primary |
Addresses
Primary practice location
833 Chestnut Street East, Suite 300
Jefferson Faculty Peds and Dupont Childrens HLTH Prog
Philadelphia, PA 19107-4405
Mailing address
PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 763949 | Medicaid | PA | |
| 7507801 | Medicaid | NJ | |
| 4104382 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019420E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1639257892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-4000",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET EAST, SUITE 300",
"address_2": "JEFFERSON FACULTY PEDS AND DUPONT CHILDRENS HLTH PROG",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074405",
"telephone_number": "215-861-8800",
"fax_number": "215-861-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMETT",
"first_name": "GARY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD019420E",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD019420E",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD019420E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "763949",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7507801",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4104382",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}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 Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.