NPIMap

Organization Active NPI

MCG Geriatric Medicine Associates, Inc.

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1770534786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MCG GERIATRIC MEDICINE ASSOCIATES, INC.
Practice address
1350 Locust St
Ste G102 Building C
Pittsburgh, PA 15219-4738
Phone
(412) 232-8494
Fax
(412) 232-8727
NPI assigned
May 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. John M Prendergast, M.D.NPI 1437119757
Title
Lead Physician
Phone
(412) 232-8494

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

Practitioners 9

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1350 Locust St
Ste G102 Building C
Pittsburgh, PA 15219-4738

Mailing address

1518 Forbes Ave
Pittsburgh, PA 15219-5112
Phone (412) 232-5546

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770534786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195112",
            "telephone_number": "412-232-5546",
            "fax_number": "412-232-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST",
            "address_2": "STE G102 BUILDING C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-8494",
            "fax_number": "412-232-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCG GERIATRIC MEDICINE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LEAD PHYSICIAN",
        "authorized_official_telephone_number": "412-232-8494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.