Provider Demographics
NPI:1609826429
Name:KASIRSKY, GILBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
Last Name:KASIRSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:178 W STREET RD
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7817
Practice Address - Country:US
Practice Address - Phone:215-710-6490
Practice Address - Fax:215-710-6492
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003198L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0962860000OtherKHPE/PERSONAL CHOICE
PA0000235OtherAETNA
PA0001301212OtherHIGHMARK
PA050054OtherMEDICARE
NJ233087605OtherHORIZON
PA0001301212OtherHIGHMARK