Gary A Misiti Jr.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA056736 Issued in PA

Practice address

2690 Southfield Dr
York, PA 17403-4510

Phone

(717) 741-1414

Fax

(717) 741-4774

NPI assigned

Mar 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment
• Regional Gastroenterology Associates of Lancaster, LTD.

  dba Digestive Disease Associates, LTD

  • Gastroenterology Physician
  • Lancaster, PA
  • NPI 1154422806
  Medicare reassignment
• Midatlantic Endoscopy LLC

  dba Mid-Atlantic Gastrointestinal Center

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1255872784
  NPD
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  dba UPMC Specialty Care Gastroenterology Associates

  • Gastroenterology Physician
  • York, PA
  • NPI 1548738628
  NPD
• Regional Gastroenterology Associates of Lancaster, LTD.

  dba Mid-Atlantic Gastrointestinal Center

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1295819084
  NPD

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1790100527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 SOUTHFIELD DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034510",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 SOUTHFIELD DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034510",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISITI",
        "first_name": "GARY",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmisiti96291@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2690 Southfield Dr",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174034510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Michelle Miranda, CRNA
• Estefania Isabel Miranda, DMD
• Howard A Mirsky, M.D.
• Kelly Leese Miserendino, PAC
• Misericordia Convalescent Home
• Divesh Shashikant Mistry, D.M.D., M.B.S.
• Thamar Petit Mistry, DMD
• Mitchell Familly Chiropractic L.L.C
• Crystal Mitchell Tilson
• Justin Scott Mitchell, PT, DPT

• Medical Physician Assistant in York, PA
• Providers in York, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.