NPIMap

Organization Active NPI

Geriatric Care Associates, LLC

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1851558951
Registry record updated May 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD044865L Issued in PA
Legal business name
GERIATRIC CARE ASSOCIATES, LLC
Practice address
5801 Spruce St
Philadelphia, PA 19139-3833
Phone
(215) 471-8255
Fax
(215) 471-5506
NPI assigned
May 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2008

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

Authorized official

Name
Dr. Darryl B. Jackson, M.D.
Title
Managment/Owner
Phone
(215) 471-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MD044865L PA Primary

Addresses

Primary practice location

5801 Spruce St
Philadelphia, PA 19139-3833

Mailing address

5801 Spruce St
Philadelphia, PA 19139-3833
Phone (215) 471-8255

National Provider Directory

National Provider Directory
Tax ID family
Geriatric Care Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1851558951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393833",
            "telephone_number": "215-471-8255",
            "fax_number": "215-471-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393833",
            "telephone_number": "215-471-8255",
            "fax_number": "215-471-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGMENT/OWNER",
        "authorized_official_telephone_number": "215-471-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD044865L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.