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MYKAL JAN GERALD
NPI 1528649290
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 15, 2021PECOS Enrolled
3500 N BROAD ST, PHILADELPHIA, PA 19140(609) 802-6696 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mykal Jan Gerald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYKAL JAN GERALD (NPI 1528649290) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528649290
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMYKAL JAN GERALD
Location Address3500 N BROAD STPhiladelphia, PA 19140-4106
Mailing Address3500 N Broad StPhiladelphia, PA 19140-4106
Phone(609) 802-6696
Sole ProprietorYes
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1528649290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3500 N BROAD ST, Philadelphia, PA 19140
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mykal Jan Gerald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COMREEN VARGEES MD
Obstetrics & Gynecology
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (303) 842-7009
NAVPREET REEHAL
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3656
NISARG PATEL
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3656
ALEXA YUEN
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3656
BROOKE ROSENTHAL
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3656
NUVERAH MOHSIN
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3656
CATHERINE ISABELLE LEM PA-C
Physician Assistant
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3656
MR. DILAN PRASAD BS
Student in an Organized Health Care Education/Training Program
3500 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (856) 220-8958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mykal Gerald's NPI number?

The NPI number for Mykal Gerald is 1528649290. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Mykal Gerald located?

Mykal Gerald practices at 3500 N Broad St, Philadelphia, PA 19140. The listed phone number is (609) 802-6696.

What is Mykal Gerald's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mykal Gerald enrolled in Medicare?

Yes. Mykal Gerald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mykal Gerald was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.