Jiwesh Jha, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD055519L Issued in PA

Practice address

1600 Hanover Ave
Allentown, PA 18109-2408

Phone

(610) 740-3409

Fax

(610) 740-3413

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dr Warren E Smith Community Mental Health Mental Retardation & Substan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1528171790
  Medicare reassignment NPD
• Haven House

  • Adult Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1689670507
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295764595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HANOVER AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092408",
            "telephone_number": "610-740-3409",
            "fax_number": "610-740-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HANOVER AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092408",
            "telephone_number": "610-740-3409",
            "fax_number": "610-740-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHA",
        "first_name": "JIWESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD055519L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jensen
• Devin Jepson, PT, DPT
• Meranda Jerjous, PA-C
• Jessica Keroack, PH.D., LLC
• Jewish Family Service of the Lehigh Valley
• Neil Jikaria, M.D.
• Julissa Jimenez, BS
• Soraya E Jimenez, M.D.
• Rafael Jiminez, MA
• Hong Jin, M.D.

• Psychiatry Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.