Organization Active NPI

Andrew M. Gellady, MD PA

  • Pediatrics Physician
  • New Port Richey, FL
National Provider Identifier
1831490713
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 26499 Issued in FL
Legal business name
ANDREW M. GELLADY, MD PA
Practice address
5323 Grand Blvd
New Port Richey, FL 34652-4014
Phone
(727) 848-4878
Fax
(727) 846-7269
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Andrew Michael Gellady, M.D,
Title
Owner
Phone
(727) 848-4878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME 26499 FL Primary

Addresses

Primary practice location

5323 Grand Blvd
New Port Richey, FL 34652-4014

Mailing address

5323 Grand Blvd.
New Port Richey, FL 34652
Phone (727) 848-4878

Other identifiers 1

IdentifierTypeStateIssuer
037944100MedicaidFL

National Provider Directory

National Provider Directory

Locations

5323 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 848-4600

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1831490713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 GRAND BLVD.",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-848-4878",
            "fax_number": "727-846-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524014",
            "telephone_number": "727-848-4878",
            "fax_number": "727-846-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW M. GELLADY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "GELLADY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-848-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 26499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037944100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.