JERSEY SHORE HOSPITAL FOUNDATION INC NPI 1417019498

NPI Information

NPI: 1417019498
Provider Name: JERSEY SHORE HOSPITAL FOUNDATION, INC

Doing Business As: JERSEY SHORE MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
104 EAST CENTRAL AVENUE
AVIS, PA
ZIP 17721
Phone: (570) 753-8620
Get Directions

JERSEY SHORE HOSPITAL FOUNDATION, INC is a family medicine in Avis, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JERSEY SHORE HOSPITAL FOUNDATION, INC NPI is 1417019498. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jersey Shore Medical Associates.

The provider's business location address is:

104 EAST CENTRAL AVENUE
AVIS, PA
ZIP 17721
Phone: (570) 753-8620
Fax: (570) 753-5489

The provider's authorized official is Carey W. Plummer .
The authorized official title is Ceo and has the following contact phone number (570) 398-3101.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 4/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	207R00000X	Internal Medicine	No
2	207X00000X	Orthopaedic Surgery	No
3	208600000X	Surgery	No
4	207Q00000X	Family Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C2CE	OTHER	PENNSYLVANIA	GEISINGER HEALTH PLAN
2	220807	OTHER	PENNSYLVANIA	FIRST PRIORITY HEALTH
3	CL3010	OTHER	PENNSYLVANIA	RAILROAD MEDICARE
4	555630	OTHER	PENNSYLVANIA	BLUE CROSS BLUE SHIELD
5	555630	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
6	5938	OTHER	PENNSYLVANIA	AETNA
7	1001557500008	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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