Active NPI
Antoine Jahshan, M.D.
- Surgical Oncology Physician
- Bala Cynwyd, PA
National Provider Identifier
1104185610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 036817-L
- Practice address
- 72 Cornell Rd
Bala Cynwyd, PA 19004-2101 - Phone
- (610) 664-1834
- NPI assigned
- May 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 036817-L | PA | Primary |
Addresses
Primary practice location
72 Cornell Rd
Bala Cynwyd, PA 19004-2101
Mailing address
72 Cornell Rd
Bala Cynwyd, PA 19004-2101
Phone (610) 664-1834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036817-L | PA | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercounty OBGYN | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Ridgewood, NY
- NPI 1083785083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1104185610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CORNELL RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042101",
"telephone_number": "610-664-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 CORNELL RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042101",
"telephone_number": "610-664-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAHSHAN",
"first_name": "ANTOINE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "PA",
"license": "036817-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.