Basic Information
Provider Information
NPI: 1215935598
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROSSINI
FirstName: GERALD-JOHN
MiddleName: MICHAEL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 783311
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191783311
CountryCode: US
TelephoneNumber: 4848844500
FaxNumber: 4848840699
Practice Location
Address1: 2775 SCHOENERSVILLE RD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177307
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6108070366
Other Information
ProviderEnumerationDate: 07/12/2005
LastUpdateDate: 02/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD424389PAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
369095001 AETNA PPOOTHER
9082401 GEISINGER HEALTH PLANOTHER
P0016768001 RAILROAD MEDICAREOTHER
005204620001 INDEPENDENCE BLUE CROSSOTHER
005204620001 KEYSTONE HEALTH EASTOTHER
162046001 HIGHMARK BLUE SHIELDOTHER
793342901 CIGNA HEALTHCAREOTHER
005204620001 AMERIHEALTHOTHER
101098371000105PA MEDICAID
5004435101 KEYSTONE HEALTH CENTRALOTHER
32895601 HEALTH AMERICA/HEALTH ASSOTHER
5004435101 CAPITAL BLUE CROSSOTHER
247514201 UNITED HEALTHCAREOTHER
934155701 PRIVATE HEALTHCARE SYSTEMOTHER
217052801 MAMSIOTHER
82068101 FIRST PRIORITY HEALTHOTHER
P332871901 OXFORD HEALTH PLANSOTHER


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