Individual provider Active NPI

Gerald Joseph Gostynski Jr.

  • Speech-Language Pathologist
  • Hunlock Creek, PA
National Provider Identifier
1821112715
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006386L Issued in PA
Practice address
20 Michelle Dr
Hunlock Creek, PA 18621-2926
Phone
(570) 262-6850
Fax
(570) 477-3604
NPI assigned
Mar 18, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL006386L PA Primary

Addresses

Primary practice location

20 Michelle Dr
Hunlock Creek, PA 18621-2926

Mailing address

20 Michelle Dr
Hunlock Creek, PA 18621-2926

Other identifiers 1

IdentifierTypeStateIssuer
1000042270006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SL006386LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Support Services for Infants and Toddlers, P.C. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821112715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MICHELLE DR",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186212926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MICHELLE DR",
            "city": "HUNLOCK CREEK",
            "state": "PA",
            "postal_code": "186212926",
            "telephone_number": "570-262-6850",
            "fax_number": "570-477-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSTYNSKI",
        "first_name": "GERALD",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006386L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000042270006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunlock Creek, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.