Individual provider Active NPI

Jack Frebel, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1285368175
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063789 Issued in PA
Practice address
3400 Spruce Street
Philadelphia, PA 19104-4206
Phone
(215) 349-8310
Fax
(215) 893-7270
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00794500 NJ
Physician Assistant 363A00000X MA063789 PA Primary

Addresses

Primary practice location

3400 Spruce Street
Philadelphia, PA 19104-4206

Mailing address

1840 South St
2ND FL
Philadelphia, PA 19146-7411
Phone (215) 349-8310

Other practice location 1

1840 South St
Philadelphia, PA 19146-7411
Phone (800) 789-7366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221102000759 PA Practitioner - Physician Assistant 9739556804 Reassigns benefits to 1 organization
I20240305001274 NJ Practitioner - Physician Assistant 9739556804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1840 S St
Philadelphia, PA 19146-7411
Phone (215) 893-7085

1865 Route 70 E
PPMC Infus
Cherry Hill, NJ 08003-2013
Phone (856) 429-1519

1865 Route 70 E 130
Rad Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 433-2535

1865 Route 70 E 210
Cherry Hill, NJ 08003-2013

1865 Route 70 E 220
Cherry Hill, NJ 08003-2013

1865 Route 70 E 260
Cherry Hill Vas Surg
Cherry Hill, NJ 08003-2013
Phone (215) 662-2069

200 Willowbrook Lane
201 Pain Management Westown
Chester, PA 19382-5697
Phone (215) 893-7246

3205 Fire Rd
Egg Harbor Township, NJ 08234-5884
Phone (215) 349-8222

3400 Spruce St
Philadelphia, PA 19104-4206

3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Sep 12, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 12, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Feb 26, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Feb 26, 2024 Accepting new patients

Locations

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

1840 South St
Philadelphia, PA 19146
Phone (215) 421-7889

1840 South St
Ste 2
Philadelphia, PA 19146
Phone (215) 545-7246

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1285368175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SOUTH ST",
            "address_2": "2ND FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191467411",
            "telephone_number": "215-349-8310",
            "fax_number": "215-893-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-349-8310",
            "fax_number": "215-893-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 South St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191467411",
            "country_code": "US",
            "telephone_number": "800-789-7366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREBEL",
        "first_name": "JACK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00794500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.