Active NPI
Gerald Alan Faich, MD
- Internal Medicine Physician
- Bala Cynwyd, PA
National Provider Identifier
1669714747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD043839L
- Practice address
- 45 E City Ave
Suite 455
Bala Cynwyd, PA 19004-2421 - Phone
- (610) 969-8755
- NPI assigned
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD043839L | PA | Primary |
Addresses
Primary practice location
45 E City Ave
Suite 455
Bala Cynwyd, PA 19004-2421
Mailing address
45 E City Ave
Suite 455
Bala Cynwyd, PA 19004-2421
Phone (610) 969-8755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD-043839-L | Other | PA | STATE LICENSE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043839L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1669714747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E CITY AVE",
"address_2": "SUITE 455",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042421",
"telephone_number": "610-969-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 E CITY AVE",
"address_2": "SUITE 455",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042421",
"telephone_number": "610-969-8755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAICH",
"first_name": "GERALD",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD043839L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD-043839-L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.