NPIMap

Individual provider Active NPI

Jeffrey Laarz, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1407018427
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054814 Issued in PA
Practice address
100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone
(215) 707-0800
NPI assigned
Jun 30, 2008
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054814 PA Primary

Addresses

Primary practice location

100 E Lehigh Ave
Philadelphia, PA 19125-1012

Mailing address

100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone (215) 707-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000174 PA Practitioner - Physician Assistant 1557533411 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103

515 Pennsylvania Ave
Fort Washington, PA 19034-3314
Phone (215) 707-3663

8811 Germantown Ave
Philadelphia, PA 19118-2718
Phone (215) 707-2098

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 707-2098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054814PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. CurrentSince Jan 1, 2015 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 11, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 11, 2019 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Cep America LLC CurrentSince Oct 22, 2025 Accepting new patients
Cep America LLC CurrentSince Oct 22, 2025 Accepting new patients
Cep America LLC Current Accepting new patients
Immediate Medical Care of Pennsylvania, LP PastSince Jun 1, 2008 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1407018427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012",
            "telephone_number": "215-707-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012",
            "telephone_number": "215-707-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAARZ",
        "first_name": "JEFFREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.