JERSEY SHORE MEDICAL ASSOCIATES – NPI #1417019498
Family Medicine

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 MEDICAL ASSOCIATES is a provider located in AVIS, PA. NPPES has assigned the NPI number 1417019498 to JERSEY SHORE MEDICAL ASSOCIATES on December 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JERSEY SHORE MEDICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is JERSEY SHORE HOSPITAL FOUNDATION, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Apr 03, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JERSEY SHORE MEDICAL ASSOCIATES below.

NPI Profile for
JERSEY SHORE HOSPITAL FOUNDATION, INC

NPI Number
1417019498
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JERSEY SHORE HOSPITAL FOUNDATION, INC
Doing Business As (dba): JERSEY SHORE MEDICAL ASSOCIATES
Primary location
104 EAST CENTRAL AVENUE
AVIS, PA 17721
Phone: (570) 753-8620 Fax: (570) 753-5489
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAREY PLUMMER
CEO
Phone: (570) 398-3101
Updated
Identifiers

Identifiers for JERSEY SHORE MEDICAL ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAPA5938
OTHERBLUE CROSS BLUE SHIELDPA555630
OTHERFIRST PRIORITY HEALTHPA220807
OTHERGEISINGER HEALTH PLANPAC2CE
OTHERRAILROAD MEDICAREPACL3010
MEDICAIDPA1001557500008
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208600000X
- Surgery
207X00000X
- Orthopaedic Surgery
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.