Provider Demographics
NPI:1710988944
Name:GRINGERI, LOUIS JOHN (DO PC)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:JOHN
Last Name:GRINGERI
Suffix:
Gender:M
Credentials:DO PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4533 NEW FALLS RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-3004
Mailing Address - Country:US
Mailing Address - Phone:267-540-8220
Mailing Address - Fax:
Practice Address - Street 1:4533 NEW FALLS RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-3004
Practice Address - Country:US
Practice Address - Phone:267-540-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S006262L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
161301Medicare ID - Type Unspecified
D98743Medicare UPIN