Individual provider Active NPI

Robert D Jambro, M.D.

  • Internal Medicine Physician
  • Langhorne, PA
National Provider Identifier
1174596613
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-014022E Issued in PA
Practice address
172 Middletown Blvd
Suite #203
Langhorne, PA 19047-1871
Phone
(215) 752-4848
Fax
(215) 741-1498
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-014022E PA Primary

Addresses

Primary practice location

172 Middletown Blvd
Suite #203
Langhorne, PA 19047-1871

Mailing address

172 Middletown Blvd Ste 203
Post Office Box L-#305
Langhorne, PA 19047-1871
Phone (215) 752-4848

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-014022EPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1174596613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 MIDDLETOWN BLVD STE 203",
            "address_2": "POST OFFICE BOX L-#305",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471871",
            "telephone_number": "215-752-4848",
            "fax_number": "215-741-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MIDDLETOWN BLVD",
            "address_2": "SUITE #203",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471871",
            "telephone_number": "215-752-4848",
            "fax_number": "215-741-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMBRO",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-014022E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.