Provider Demographics
NPI:1215935598
Name:ROSSINI, GERALD-JOHN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD-JOHN
Middle Name:MICHAEL
Last Name:ROSSINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424389207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
50044351OtherCAPITAL BLUE CROSS
820681OtherFIRST PRIORITY HEALTH
P00167680OtherRAILROAD MEDICARE
P3328719OtherOXFORD HEALTH PLANS
0052046200OtherKEYSTONE HEALTH EAST
7933429OtherCIGNA HEALTHCARE
90824OtherGEISINGER HEALTH PLAN
0052046200OtherAMERIHEALTH
1620460OtherHIGHMARK BLUE SHIELD
9341557OtherPRIVATE HEALTHCARE SYSTEM
50044351OtherKEYSTONE HEALTH CENTRAL
PA1010983710001Medicaid
3690950OtherAETNA PPO
0052046200OtherINDEPENDENCE BLUE CROSS
2170528OtherMAMSI
2475142OtherUNITED HEALTHCARE
328956OtherHEALTH AMERICA/HEALTH ASS
2170528OtherMAMSI
7933429OtherCIGNA HEALTHCARE