Active NPI
Kenneth Jay Gelman, MD
- Pediatrics Physician
- Paoli, PA
National Provider Identifier
1699798124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-060870-L
- Practice address
- 250 West Lancaster Ave
Suite 340
Paoli, PA 19301 - Phone
- (610) 407-9000
- Fax
- (610) 407-9005
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
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 |
|---|---|---|---|
| MD-060870-L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Philadelphia | Pediatrics | Past | Accepting new patients |
| Main Line Hospitals, Inc. | Past | Accepting new patients |
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-060870-L | PA | Primary |
Addresses
Primary practice location
250 West Lancaster Ave
Suite 340
Paoli, PA 19301
Mailing address
250 West Lancaster Ave
Suite 340
Paoli, PA 19301
Phone (610) 407-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001670755 | Medicaid | PA |
NPI Registry JSON
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1699798124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WEST LANCASTER AVE",
"address_2": "SUITE 340",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "610-407-9000",
"fax_number": "610-407-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WEST LANCASTER AVE",
"address_2": "SUITE 340",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "610-407-9000",
"fax_number": "610-407-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELMAN",
"first_name": "KENNETH",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD-060870-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001670755",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.