Provider Demographics
NPI:1144498916
Name:GARY DRILLINGS, MD, P.A.
Entity type:Organization
Organization Name:GARY DRILLINGS, MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CSENCSITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-831-6666
Mailing Address - Street 1:1777 HAMBURG TPKE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5211
Mailing Address - Country:US
Mailing Address - Phone:973-831-6666
Mailing Address - Fax:973-831-8661
Practice Address - Street 1:1777 HAMBURG TPKE
Practice Address - Street 2:SUITE 305
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5211
Practice Address - Country:US
Practice Address - Phone:973-831-6666
Practice Address - Fax:973-831-8661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARY DRILLINGS, MD, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-14
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ121990Medicare PIN
NJ694828XYFMedicare PIN
NJ123237XYFMedicare PIN