Active NPI
Gerald Joseph Gostynski Jr.
- Speech-Language Pathologist
- Hunlock Creek, PA
National Provider Identifier
1821112715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL006386L
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000042270006 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL006386L | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Occupational Therapist
- Hunlock Creek, PA
- NPI 1790809689
Speech-Language Pathologist
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.