Organization Active NPI

Stephen J Gershberg DMD PC

  • General Practice Dentistry
  • Bryn Mawr, PA
National Provider Identifier
1912394867
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-023427L Issued in PA
Legal business name
STEPHEN J GERSHBERG DMD PC
Practice address
14 S Bryn Mawr Ave
Suite #200
Bryn Mawr, PA 19010-3216
Phone
(610) 527-6700
Fax
(484) 383-3176
NPI assigned
Apr 17, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Stephen Gershberg, DMDNPI 1639486913
Title
Owner
Phone
(610) 527-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-023427L PA Primary

Addresses

Primary practice location

14 S Bryn Mawr Ave
Suite #200
Bryn Mawr, PA 19010-3216

Mailing address

14 S Bryn Mawr Ave
Suite #200
Bryn Mawr, PA 19010-3216
Phone (610) 527-6700

National Provider Directory

National Provider Directory

Locations

14 S Bryn Mawr Ave
Ste 200
Bryn Mawr, PA 19010
Phone (610) 527-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1912394867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE",
            "address_2": "SUITE #200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-527-6700",
            "fax_number": "484-383-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S BRYN MAWR AVE",
            "address_2": "SUITE #200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103216",
            "telephone_number": "610-527-6700",
            "fax_number": "484-383-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J GERSHBERG DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GERSHBERG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-527-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-023427L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.