Jubilee Medical Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

SP011760 Issued in PA

Legal business name

JUBILEE MEDICAL FAMILY PRACTICE

Practice address

722 Walnut St
Reading, PA 19601-3520

Phone

(484) 769-7073

Fax

(610) 422-7062

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Bolaji Owoloja, NP

Title

Ceo

Phone

(484) 769-7073

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15261/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1235567785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOWES LN",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069011",
            "telephone_number": "484-769-7073",
            "fax_number": "610-422-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 WALNUT ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013520",
            "telephone_number": "484-769-7073",
            "fax_number": "610-422-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE MEDICAL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "OWOLOJA",
        "authorized_official_first_name": "BOLAJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-769-7073",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "SP011760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accamma Joy, D.O.
• Thomas Joyce
• Jennifer L Jozefick, DO
• JSC Home Attendant Agency
• Elsa Juan-Rodriguez
• Bambi L Juryea, MA
• Jaskirat Singh Kahlon, PA-C
• Ashley Cassandra Kahn, MS, MED, LAPC
• Katrina Jean Kaintz, BS
• Jennifer J Kalck-Lewis, BS, COTA/L

• Primary Care Clinic/Center in Reading, PA
• Providers in Reading, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.