Alfred Jardiah

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

25548989 Issued in PA

Practice address

6418 Chelwynde Ave
Philadelphia, PA 19142-3017

Phone

(267) 678-8736

NPI assigned

Feb 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1194117408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6418 CHELWYNDE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423017",
            "telephone_number": "267-678-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6418 CHELWYNDE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423017",
            "telephone_number": "267-678-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDIAH",
        "first_name": "ALFRED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PA",
            "license": "25548989",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "25548989",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "25548989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Japlan LLC
• Brooke Jaquith, CRNP
• Mikaela Nikkola Aquino Jara-Tantoco, MD, MS
• Steve Jara, MS, CCC-SLP
• Marta Cecilia Jaramillo, PA C
• Lori Jardines, M.D.
• Mohita Jariwala
• Neha Jariwala
• Waed Jarjous, D.O.
• Jessica N. Jarmon, LCSW

• School Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• School Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.