Jeffrey L Waldron, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00090000 Issued in NJ

Practice address

46 Centerra Pkwy Ste 200
Lebanon, NH 03766-1487

Phone

(609) 575-8177

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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 NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Hunterdon Family Physicians Inc.

  • Family Medicine Physician
  • Flemington, NJ
  • NPI 1306875273
  Medicare reassignment

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1386792943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CENTERRA PKWY STE 200",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CENTERRA PKWY STE 200",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661487",
            "telephone_number": "609-575-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00090000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne F Wagner, MSW
• Sandra Wagner
• Luna Wahab, MD
• Jon Walter Wahrenberger, M.D.
• Jeannee Boots Wainscott, PA
• Elaine Walker, APRN
• Jennifer Lee Walker, APRN
• Justin Walker, DPT
• Lynne Walker, LCMHC
• Tacee Walker, DO

• Medical Physician Assistant in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Medical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.