Organization Active NPI

Gurpreet Kochar MD PC

  • Specialist
  • Ridley Park, PA
National Provider Identifier
1710080783
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD039916L Issued in PA
Legal business name
GURPREET KOCHAR MD PC
Practice address
101 Dutton St
Ridley Park, PA 19078-2308
Phone
(610) 521-8450
Fax
(610) 521-0345
NPI assigned
Sep 6, 2006
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Gurpreet Kochar, MDNPI 1407895295
Title
Practice Owner
Phone
(610) 521-8450

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD039916L PA Primary

Addresses

Primary practice location

101 Dutton St
Ridley Park, PA 19078-2308

Mailing address

PO Box 205
Drexel Hill, PA 19026-0205
Phone (610) 259-9900

Other identifiers 2

IdentifierTypeStateIssuer
1407895295OtherPANPI
1639283062OtherPANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000821 PA Part B Supplier - Clinic/Group Practice 3173594751 Receives reassigned benefits from 3 practitioners
Practice locations: Drexel Hill, PA; Ridley Park, PA

National Provider Directory

National Provider Directory
Tax ID family
Gurpreet Kochar MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

685 Ferne Blvd
Drexel Hill, PA 19026
Phone (610) 259-5522

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1710080783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190260205",
            "telephone_number": "610-259-9900",
            "fax_number": "610-284-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUTTON ST",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782308",
            "telephone_number": "610-521-8450",
            "fax_number": "610-521-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURPREET KOCHAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "KOCHAR",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "610-521-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD039916L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407895295",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639283062",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridley Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.