Organization Active NPI

Geriatric & Adult Medicine, PC

  • Internal Medicine Physician
  • York, PA
National Provider Identifier
1700881810
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD066389L Issued in PA
Legal business name
GERIATRIC & ADULT MEDICINE, PC
Practice address
1501 Mount Rose Ave Ste 6B
York, PA 17403-2989
Phone
(717) 741-5959
Fax
(717) 741-4395
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Pawan K. Arora, MDNPI 1396968038
Title
President
Phone
(717) 741-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD066389L PA Primary

Addresses

Primary practice location

1501 Mount Rose Ave Ste 6B
York, PA 17403-2989

Mailing address

1501 Mount Rose Ave Ste 6B
York, PA 17403-2989
Phone (717) 741-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000393 PA Part B Supplier - Clinic/Group Practice 3072576412 Receives reassigned benefits from 1 practitioner
Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

1501 Mount Rose Ave
Ste 6B
York, PA 17403
Phone (717) 741-5959

1700 Normandie Dr
Ofc
York, PA 17408
Phone (717) 718-4828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1700881810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MOUNT ROSE AVE STE 6B",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032989",
            "telephone_number": "717-741-5959",
            "fax_number": "717-741-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MOUNT ROSE AVE STE 6B",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032989",
            "telephone_number": "717-741-5959",
            "fax_number": "717-741-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC & ADULT MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "PAWAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-741-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD066389L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.