Dr Stephen Jaditz LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

OS006343L Issued in PA

Legal business name

DR STEPHEN JADITZ LLC

Practice address

105 Layton Rd # 478
South Abington Township, PA 18411-9376

Phone

(570) 586-8186

Fax

(570) 587-0758

NPI assigned

May 23, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Jaditz, DONPI 1831146380

Title

Physician

Phone

(570) 586-8186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Gerard Jaditz, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • South Abington Township, PA
  • NPI 1831146380
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Falbo, NP

  • Family Nurse Practitioner
  • South Abington Township, PA
  • NPI 1811472384
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1063903151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAYTON RD P O BOX 478",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184119376",
            "telephone_number": "570-586-8186",
            "fax_number": "570-587-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAYTON RD # 478",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184119376",
            "telephone_number": "570-586-8186",
            "fax_number": "570-587-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEPHEN JADITZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "JADITZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-586-8186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS006343L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ryan Depietro, PHARMD
• David Ryan Desko, M.S.
• Benjamin Detrempe
• Sabrina Marie Di Tucci, PT, DPT
• Erika Jo Dominick, CRNP
• Dr. Eden Soliman
• Dr. Soliman
• Taylor Lillian Dunn, N.C.C., L.A.P.C.
• Emily Dwyer
• Jonell Dye, COTA/L

• Geriatric Medicine (Family Medicine) Physician in South Abington Township, PA
• Providers in South Abington Township, PA by specialty
• Geriatric Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.