Active NPI
Robert J Gary, M.D.
- Urology Physician
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD036095E
- Practice address
- 200 State Street
Suite 205
Media, PA 19063-3434 - Phone
- (610) 521-4112
- Fax
- (610) 521-6864
- NPI assigned
- Mar 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Urology Physician | 208800000X | MD036095E | PA | Primary |
Addresses
Primary practice location
200 State Street
Suite 205
Media, PA 19063-3434
Mailing address
PO Box 37864
Baltimore, MD 21297-7864
Phone (610) 382-5916
Other practice location 1
100 Maris Grove Way
Glen Mills, PA 19342-1282
Phone (610) 565-2776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physician Services, PC / Dba Midlantic Urology | Urology | Current | Accepting new patients |
| Alliance Physician Services, PC | Urology | Current | Accepting new patients |
| Alliance Physician Services, PC | Urology | Current | Accepting new patients |
Locations
919 Conestoga Rd
Bldg 1
Bryn Mawr, PA 19010
Phone (610) 525-6400
1 Medical Center Blvd
Ste 105
Chester, PA 19013
Phone (610) 874-4870
100 Maris Grove Way
Glen Mills, PA 19342
Phone (610) 387-4520
500 Evergreen Dr
Ste G5
Glen Mills, PA 19342
Phone (610) 566-4383
211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910
200 E State St
Ste 205
Media, PA 19063
Phone (610) 521-4112
200 E State St
Media, PA 19063
Phone (610) 565-2776
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Paoli, PA
- NPI 1952829350
-
- Urology Physician
- King of Prussia, PA
- NPI 1811351083
-
- Urology Physician
- Wake Forest, NC
- NPI 1316811888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1972563427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37864",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212977864",
"telephone_number": "610-382-5916",
"fax_number": "484-381-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STATE STREET",
"address_2": "SUITE 205",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633434",
"telephone_number": "610-521-4112",
"fax_number": "610-521-6864"
}
],
"practiceLocations": [
{
"address_1": "100 Maris Grove Way",
"address_purpose": "LOCATION",
"city": "Glen Mills",
"state": "PA",
"postal_code": "193421282",
"country_code": "US",
"telephone_number": "610-565-2776",
"fax_number": "610-565-4247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARY",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD036095E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.