JERRY MILTON TRACHTENBERG DO NPI 1144336231

NPI Information

  • NPI: 1144336231
  • Provider Name: JERRY MILTON TRACHTENBERG, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: WORKHEALTH KNIGHTS & RED LION RDS
    SUITE 206-MOB
    PHILADELPHIA, PA
    ZIP 19114
  • Phone: (215) 612-4836

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NPI Details

Jerry Milton Trachtenberg, DO is a family medicine in Philadelphia, 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. Jerry Milton Trachtenberg, DO NPI is 1144336231. 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:

WORKHEALTH KNIGHTS & RED LION RDS
SUITE 206-MOB
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 612-4836
Fax: (215) 612-4904

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/8/2007.

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
1207Q00000XFamily Medicine0S005352-LPENNSYLVANIAYes

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
1E55431MEDICARE UPIN

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: 11/21/2025

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