Jill K Stavalone, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS009244L Issued in PA

Practice address

1690 Big Oak Rd
Yardley, PA 19067-6421

Phone

(215) 493-1750

Fax

(215) 493-1470

NPI assigned

Mar 2, 2006

Last updated

Apr 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jill.stavalone@advocaredoctors.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocare , LLC

  dba Advocare Heritage Family Medicine

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1053589515
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1164499778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-493-1750",
            "fax_number": "215-493-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 BIG OAK RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676421",
            "telephone_number": "215-493-1750",
            "fax_number": "215-493-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVALONE",
        "first_name": "JILL",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS009244L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017861890012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Lynn Spielberger, P.T.
• Splashblocker Distribution Company, LLC
• Luke St Pierre, DPT
• Roselyn Kellen Stanger, MD
• Erin Leigh Staudt, MSN, FNP-BC
• STC Pediatrics LLC (St. Christophers Pediatric Associates Rheumatology - Yardley)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Endocrinology - Newtown Yardley)
• STC Pediatrics LLC (St Christopher's Pediatric Associates Berks Developmental Medicine)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Plastic Surgery - Yardley)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Child Protection - Newtown Yardley)

• Pediatrics Physician in Yardley, PA
• Providers in Yardley, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.