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DR. GERALD DETATA MD NPI 1902877079


NPI Information

NPI: 1902877079
Provider Name: DR. GERALD DETATA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PROHEALTH URGENT CARE MEDICINE OF NEW JERSEY LLP

PECOS Registration: Yes

Address:
120 S WHITE HORSE PIKE
HAMMONTON, NJ
ZIP 08037
Phone: (609) 567-2573
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DR. Gerald Detata, MD is a family medicine in Hammonton, NJ with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gerald Detata, MD NPI is 1902877079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1979

The provider's business location address is:

120 S WHITE HORSE PIKE
HAMMONTON, NJ
ZIP 08037-804
Phone: (609) 567-2573
Fax: (609) 561-8046

The NPI 1902877079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 4/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25MA04005400NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1503586QLLMEDICARE PINNEW JERSEY
2C55019MEDICARE UPINNEW JERSEY
3503586SBVMEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.