Gary Malik Gibson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD496570 Issued in PA

Practice address

500 York Rd Ste 201
Jenkintown, PA 19046-2872

Phone

(215) 517-1212

Fax

(215) 517-1229

NPI assigned

Apr 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1972247286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 YORK RD STE 201",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462872",
            "telephone_number": "215-517-1212",
            "fax_number": "215-517-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Old York Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189742047",
            "country_code": "US",
            "telephone_number": "215-420-1340",
            "fax_number": "215-420-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GARY",
        "middle_name": "MALIK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-22",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD496570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Force Counseling Services
• Gentle Force Counseling Services
• Nivya George, CRNP
• Kathryn Grace Gerhard
• Karen Ann Giammanco, CRNP
• Leslie Gibson
• Seleme Gilchrist, LPC
• Alexandra Gillespie, CRNP
• Carl Richard Ginsberg, DPM
• Joel M Glassman, M.D.

• Dermatology Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.