Individual provider Active NPI

David R. Jones, D.O.

  • Family Medicine Physician
  • Newtown Square, PA
National Provider Identifier
1316949662
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008904L Issued in PA
Practice address
13 Saint Albans Circle
Suite C
Newtown Square, PA 19073-3619
Phone
(610) 853-2900
Fax
(610) 853-2980
NPI assigned
Jun 1, 2005
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008904L PA Primary

Addresses

Primary practice location

13 Saint Albans Circle
Suite C
Newtown Square, PA 19073-3619

Mailing address

13 Saint Albans Circle
Suite C
Newtown Square, PA 19073-3619
Phone (484) 422-8647

Other identifiers 2

IdentifierTypeStateIssuer
P00063222OtherRAILROAD MEDICARE
0016539140002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050422000702 PA Practitioner - Family Practice 5799723318 Reassigns benefits to 3 organizations
I20220722001903 FL Practitioner - Family Practice 5799723318 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Pennsylvania PC Current Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Apr 19, 2022 Accepting new patients
NJ Pacs 2 PA CurrentSince Aug 12, 2022 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Past Accepting new patients
Ocular Telehealth PC Past Accepting new patients

Locations

2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 264-8621

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2600 Belmont Ave
Philadelphia, PA 19131
Phone (215) 581-0705

2815 Byberry Rd
Uppr Moreland, PA 19040
Phone (215) 302-3748

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dunwoody VillageNewtown Square, PA, CCN 395329 Skilled nursing facility Other Nov 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1316949662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SAINT ALBANS CIRCLE",
            "address_2": "SUITE C",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733619",
            "telephone_number": "484-422-8647",
            "fax_number": "484-422-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SAINT ALBANS CIRCLE",
            "address_2": "SUITE C",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733619",
            "telephone_number": "610-853-2900",
            "fax_number": "610-853-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "R.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008904L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00063222",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016539140002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.