Active NPI
Gianmaria Minervini, M.D.
- Pediatrics Physician
- Rosemont, PA
National Provider Identifier
1982846507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD019291E
- Practice address
- 1062 Lancaster Ave
Apt 620
Rosemont, PA 19010 - Phone
- (610) 564-2989
- NPI assigned
- Mar 27, 2009
- Last updated
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD019291E | PA | Primary |
Addresses
Primary practice location
1062 Lancaster Ave
Apt 620
Rosemont, PA 19010
Mailing address
1062 Lancaster Ave
Apt 620
Rosemont, PA 19010
Phone (610) 564-2989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019291E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1982846507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 LANCASTER AVE",
"address_2": "APT 620",
"city": "ROSEMONT",
"state": "PA",
"postal_code": "19010",
"telephone_number": "610-564-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 LANCASTER AVE",
"address_2": "APT 620",
"city": "ROSEMONT",
"state": "PA",
"postal_code": "19010",
"telephone_number": "610-564-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINERVINI",
"first_name": "GIANMARIA",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD019291E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosemont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.