DR. GARY ANDREW DELLACERRA (NPI# 1629411194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629411194 |
| Entity Type | Individual |
| Full Name | DR. GARY ANDREW DELLACERRA |
| Credential | D.O. |
| Practice Address |
132 S 10th St Fl 10 Philadelphia PA 19107 |
| Mailing Address |
101 E Olney Ave Ste 400 Philadelphia PA 19120-2470 |
| Practice Telephone | 2159556226 |
| Mailing Telephone | 2159556226 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
OS019610 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
132 S 10TH ST FL 10 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780165449 | Prabath Kumar Mondel | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2018-08-21 |
| 1841786472 | Aishwarya Gulati | Internal Medicine | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2018-07-06 |
| 1477046936 | Andrew Gomella | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2018-06-10 |
| 1467945998 | William Dennis Coffey IIi | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2018-06-09 |
| 1053816579 | Michael Koppe Hoy | Student in an Organized Health Care Education/Training Program | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2018-03-27 |
| 1326542564 | Brandon Michael Metra | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2018-03-21 |
| 1134649809 | Evan Rochlis | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107 | 2017-06-23 |
| 1447787270 | Erwin Xia | Internal Medicine | 132 S 10th St Fl 10, Philadelphia, PA 19107 | 2017-05-11 |
| 1578099693 | Joel Diament | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2017-05-10 |
| 1326573775 | Russell Abbott Reeves | Radiology | 132 S 10th St Fl 10, Philadelphia, PA 19107-5244 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088074 | Savvas Andronikou | Radiology | 3401 Civic Center Blvd Dept 3nw41, Philadelphia, PA 19104-4319 | 2019-02-05 |
| 1194836221 | Amy K Lansman | Radiology | 1919 Walnut St, Philadelphia, PA 19103-4609 | 2006-08-31 |
| 1245294156 | Bsi Acquisition, Lp | Radiology | 221 N Broad St, Suite 101, Philadelphia, PA 19107-1511 | 2006-04-17 |
| 1982181996 | Alessandra Albini | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107 | 2018-07-23 |
| 1922591015 | Jehan Ghany | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2018-06-13 |
| 1659894145 | Orna Komisar | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2017-07-17 |
| 1164898045 | Ajit Karambelkar | Radiology | 132 S 10th St, Philadelphia, PA 19107 | 2015-08-14 |
| 1497195978 | Leann Michelle Kania | Radiology | 5501 Old York Rd, Albert Einstein Medical Center, Philadelphia, PA 19141-3018 | 2013-06-28 |
| 1164866471 | Brandon John Bachert | Radiology | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2013-04-18 |
| 1649558362 | Nicola Schieda | Radiology | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2011-07-29 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.