Alex Javardian, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA059804 Issued in PA

Practice address

555 Second Ave Ste 300
Collegeville, PA 19426-3600

Phone

(610) 454-7750

Fax

(610) 454-1367

NPI assigned

Jul 25, 2018

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rimma Oganesova Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pottstown Medical Specialists IncGroup PAC ID 8224024096, 39 clinicians

Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
• Paoli Hospital Hospital, Paoli, PA, CCN 390153
• Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: alexjavardian@pmsi.allscriptsdirect.net

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.

• Pottstown Medical Specialists, Inc

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1053428425
  Medicare reassignment Care Compare group
• Pottstown Medical Specialists, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pottstown, PA
  • NPI 1578716056
  NPD

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

• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Paoli Hospital

  • General Acute Care Hospital
  • Paoli, PA
  • NPI 1215042114
  Care Compare affiliation
• Phoenixville Hospital, LLC

  dba Phoenixville Hospital

  • General Acute Care Hospital
  • Phoenixville, PA
  • NPI 1750805552
  Care Compare affiliation
• Pottstown Hospital, LLC

  dba Pottstown Oncology Associates/Pottstown Obstetrical Associates

  • Hematology & Oncology Physician
  • Pottstown, PA
  • NPI 1093225369

  Hospital

  Care Compare affiliation
• Pottstown Hospital, LLC

  dba Pottstown Hospital

  • General Acute Care Hospital
  • Pottstown, PA
  • NPI 1649794421
  Care Compare affiliation

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1396222022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643241",
            "telephone_number": "610-327-4200",
            "fax_number": "610-327-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE 300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-454-7750",
            "fax_number": "610-454-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVARDIAN",
        "first_name": "ALEX",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIMMA",
            "last_name": "OGANESOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather M Ignatius, CRNP
• Innovative Healthcare Services LLC
• Interpretive Neurodiagnostics LLC
• Hannah E Jachowski
• M Ihtesham Janjua, MD
• Jdxpath Inc.
• Jefferson University Radiology Associates LLC (Jefferson Outpatient Imaging)
• Jeffrey Kehr
• Adelyn Rae Jenkins, CCC-SLP
• Jenna Aileeen Jenkins

• Medical Physician Assistant in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.