Organization Active NPI

Roy N Gay MD PC

  • Legal Medicine
  • Philadelphia, PA
National Provider Identifier
1700950409
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD 037685 Issued in PA
Legal business name
ROY N GAY MD PC
Practice address
2116 Chestnut St
1St Floor
Philadelphia, PA 19103-4401
Phone
(215) 988-0508
Fax
(215) 988-0518
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Cathleen Margaret Wlock
Title
Account Manager
Phone
(610) 832-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X MD 037685 PA Primary

Addresses

Primary practice location

2116 Chestnut St
1St Floor
Philadelphia, PA 19103-4401

Mailing address

411 E Gowen Ave
Philadelphia, PA 19119-1025
Phone (215) 988-0508

Other identifiers 2

IdentifierTypeStateIssuer
MD 037685OtherPAMEDICAL LICENCES NUMBER
00834773MedicaidPA

Other names 1

  • ROY N GAY MD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061201000011 PA Part B Supplier - Clinic/Group Practice 1658379573 Receives reassigned benefits from 1 practitioner
Practice locations: Bala Cynwyd, PA

National Provider Directory

National Provider Directory

Locations

25 Bala Ave
Ste 105
Bala Cynwyd, PA 19004
Phone (215) 966-1546

2116 Chestnut St
Ste 1
Philadelphia, PA 19103
Phone (215) 988-0508

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700950409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E GOWEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191025",
            "telephone_number": "215-988-0508",
            "fax_number": "215-988-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 CHESTNUT ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034401",
            "telephone_number": "215-988-0508",
            "fax_number": "215-988-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY N GAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WLOCK",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "610-832-5903",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "MD 037685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCES NUMBER",
            "identifier": "MD 037685",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00834773",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROY N GAY MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 7, 2023; 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.