Organization Active NPI

Gynecology Care Specialists, LLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1982276358
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
Legal business name
GYNECOLOGY CARE SPECIALISTS, LLC
Practice address
136 Jaycee Dr Ste 10
Johnstown, PA 15904-3650
Phone
(814) 243-0414
Fax
(814) 479-8113
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Johanna Lenzi
Title
Credentialing
Phone
(814) 243-3429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LX0001X Primary

Addresses

Primary practice location

136 Jaycee Dr Ste 10
Johnstown, PA 15904-3650

Mailing address

136 Jaycee Dr Ste 10
Johnstown, PA 15904-3650
Phone (814) 243-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104000367 PA Part B Supplier - Clinic/Group Practice 7315335767 Receives reassigned benefits from 3 practitioners
Practice locations: Johnstown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2241616Gynecology Care Specialists136 Jaycee Dr, Suite 100, Johnstown, PA 15904Provider-performed microscopyOct 29, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1982276358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JAYCEE DR STE 10",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043650",
            "telephone_number": "814-243-0414",
            "fax_number": "814-479-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JAYCEE DR STE 10",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043650",
            "telephone_number": "814-243-0414",
            "fax_number": "814-479-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "LENZI",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "814-243-3429"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.