Physician Compare National (NPI:1861580219)

HEALTHCARE PROVIDER: DAVID R. GERBER DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861580219
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224025226
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040430000166
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GERBER
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	CRITICAL CARE (INTENSIVISTS)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CMC DEPARTMENT OF MEDICINE GROUP PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2163335878
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	219
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	501 FRONT ST
	Group Practice or individual's line 1 address
City	ELMER
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	083182101
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8563631000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INSPIRA MEDICAL CENTER VINELAND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310014
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COOPER UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310069
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	INSPIRA MEDICAL CENTER ELMER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y