Active NPI
Roy N Gay MD PC
- Legal Medicine
- Philadelphia, PA
National Provider Identifier
1700950409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MD 037685
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD 037685 | Other | PA | MEDICAL LICENCES NUMBER |
| 00834773 | Medicaid | PA |
Other names 1
- ROY N GAY MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.