Provider Demographics
NPI:1356107775
Name:JADE & RORY PLLC
Entity type:Organization
Organization Name:JADE & RORY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALLORY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GERGELY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:412-401-4145
Mailing Address - Street 1:112 WALNUT LN STE 5
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:PA
Mailing Address - Zip Code:15089-1170
Mailing Address - Country:US
Mailing Address - Phone:724-633-2077
Mailing Address - Fax:
Practice Address - Street 1:112 WALNUT LN STE 5
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:PA
Practice Address - Zip Code:15089-1170
Practice Address - Country:US
Practice Address - Phone:412-401-4145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service