Active NPI
Gia Merlo, M.D., MBA
- Child & Adolescent Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1992914378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD059147L
- Practice address
- 822 Pine St
Suite 2D
Philadelphia, PA 19107-6187 - Phone
- (215) 629-2929
- Fax
- (215) 629-2928
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD059147L | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD059147L | PA | Primary |
Addresses
Primary practice location
822 Pine St
Suite 2D
Philadelphia, PA 19107-6187
Mailing address
822 Pine St
Suite 2D
Philadelphia, PA 19107-6187
Phone (215) 629-2929
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)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD059147L | PA | MD | Child & Adolescent Psychiatry Physician |
Interoperability endpoints
- gmerlo515973@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1992914378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 PINE ST",
"address_2": "SUITE 2D",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076187",
"telephone_number": "215-629-2929",
"fax_number": "215-629-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 PINE ST",
"address_2": "SUITE 2D",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076187",
"telephone_number": "215-629-2929",
"fax_number": "215-629-2928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERLO",
"first_name": "GIA",
"credential": "M.D., MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD059147L",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD059147L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.