MR. JAN WARREN PIENCENAVES JALOSJOS PA-C NPI 1932314770

NPI Information

NPI: 1932314770
Provider Name: MR. JAN WARREN PIENCENAVES JALOSJOS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
5501 OLD YORK RD
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 456-7900
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MR. Jan Warren Piencenaves Jalosjos, PA-C is a surgical physician assistant in Philadelphia, PA with 18 years of experience. MR. Jan Warren Piencenaves Jalosjos, PA-C NPI is 1932314770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5501 OLD YORK RD
PHILADELPHIA, PA
ZIP 19141-018
Phone: (215) 456-7900

The NPI 1932314770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 2/9/2022.

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	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		MA052733	PENNSYLVANIA	No
2	363AM0700X	Physician Assistant	Medical	MA052733	PENNSYLVANIA	No
3	363AM0700X	Physician Assistant	Medical	OA002134	PENNSYLVANIA	No
4	363AS0400X	Physician Assistant	Surgical	OA002134	PENNSYLVANIA	No
5	363AS0400X	Physician Assistant	Surgical	MA052733	PENNSYLVANIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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