Jerry Milton Trachtenberg, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S005352-L Issued in PA

Practice address

Workhealth Knights & Red Lion RDS
Suite 206-Mob
Philadelphia, PA 19114

Phone

(215) 612-4836

Fax

(215) 612-4904

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jerome Milton Trachtenberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144336231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7044 LYNFORD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491714",
            "telephone_number": "215-725-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WORKHEALTH KNIGHTS & RED LION RDS",
            "address_2": "SUITE 206-MOB",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-612-4836",
            "fax_number": "215-612-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTENBERG",
        "first_name": "JERRY",
        "middle_name": "MILTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S005352-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEROME",
            "last_name": "TRACHTENBERG",
            "middle_name": "MILTON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen May Trabulsi, M.D.
• Tracemark Pharmacy
• Tracey Jones, M.D., P.C.
• Dennis Allen Trach, D.C.
• Eric S Trachtenberg, PHARMD, RPH
• Natalie Jane Trachtman, MD
• Joseph I. Tracy, PHD
• Marypat B Tracy, LCSW
• Meghan Tracy
• Ashley Elizabeth Traczuk, MD

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.