Individual provider Active NPI

J Marc Aynardi, M.D.

  • Internal Medicine Physician
  • Wyomissing, PA
National Provider Identifier
1235192154
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD026417E Issued in PA
Practice address
950B N Wyomissing Blvd
3Rd Floor
Wyomissing, PA 19610-1783
Phone
(610) 898-1820
Fax
(610) 372-0164
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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 MD026417E PA Primary

Addresses

Primary practice location

950B N Wyomissing Blvd
3Rd Floor
Wyomissing, PA 19610-1783

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0796

Other identifiers 1

IdentifierTypeStateIssuer
001114561MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070630000026 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8325950934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients
Tower Health Medical Group CurrentSince May 1, 2015 Accepting new patients

Locations

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

301 S 7th Ave
Ste 210
West Reading, PA 19611
Phone (484) 628-4656

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

950B N Wyomissing Blvd
Fl 3
Wyomissing, PA 19610
Phone (610) 898-1820

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1235192154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-0796",
            "fax_number": "484-334-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950B N WYOMISSING BLVD",
            "address_2": "3RD FLOOR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101783",
            "telephone_number": "610-898-1820",
            "fax_number": "610-372-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYNARDI",
        "first_name": "J",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD026417E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001114561",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.