Individual provider Active NPI

Monet Jeanette Gedzah, RN

  • Administrator Registered Nurse
  • Chester, PA
National Provider Identifier
1679891105
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN669483 Issued in PA
Practice address
923 Keystone Rd
Chester, PA 19013-1723
Phone
(814) 792-9670
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WA2000X RN669483 PA Primary

Addresses

Primary practice location

923 Keystone Rd
Chester, PA 19013-1723

Mailing address

923 Keystone Rd
Chester, PA 19013-1723
Phone (814) 792-9670

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN669483PAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rent an Aide Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1679891105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 KEYSTONE RD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190131723",
            "telephone_number": "814-792-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 KEYSTONE RD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190131723",
            "telephone_number": "814-792-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDZAH",
        "first_name": "MONET",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "PA",
            "license": "RN669483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.