Provider Demographics
NPI:1336246206
Name:CARINGI, GREGORY A (DPM)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:CARINGI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 N BROAD ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1063
Mailing Address - Country:US
Mailing Address - Phone:215-855-5854
Mailing Address - Fax:215-855-0428
Practice Address - Street 1:2031 N BROAD ST
Practice Address - Street 2:SUITE 107
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1063
Practice Address - Country:US
Practice Address - Phone:215-855-5854
Practice Address - Fax:215-855-0428
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC-002287-L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008413390005Medicaid
CA189516Medicare ID - Type Unspecified
PA0008413390005Medicaid