Healthcare Provider Details

I. General information

NPI: 1275587222
Provider Name (Legal Business Name): JEFFERSON CARDIOLOGY ASSOCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 ROUTE 51 STE 103
JEFFERSON HILLS PA
15025-3652
US

IV. Provider business mailing address

PO BOX 18285
PITTSBURGH PA
15236
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-1500
  • Fax: 412-469-1531
Mailing address:
  • Phone: 412-469-1500
  • Fax: 412-469-1531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0006711210001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: DR. GENNADY GESKIN
Title or Position: PRESIDENT JEFFERSON CARDIOLOGY ASSN
Credential: MD
Phone: 412-469-1500