Active NPI
John M Movassaghi, MD
- Internal Medicine Physician
- Ashland, PA
National Provider Identifier
1457315988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD426328
- Practice address
- 124 W Centre St
Ashland, PA 17921-1343 - Phone
- (717) 808-1667
- Fax
- (717) 808-1667
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD426328 | PA | Primary |
Addresses
Primary practice location
124 W Centre St
Ashland, PA 17921-1343
Mailing address
124 W Centre St
Ashland, PA 17921-1343
Phone (717) 808-1667
Other practice location 1
560 Van Reed Rd Ste 101
Wyomissing, PA 19610-1799
Phone (484) 516-2937
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD426328 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bmax Pennsylvania LLC | Current | Accepting new patients | |
| Pear Program Inc | Current | Accepting new patients | |
| Upmc Pinnacle Hospitals | Past | Accepting new patients | |
| Reading Dermatology Associates PC | Past | Accepting new patients |
Locations
560 Van Reed Rd
Ste 101
Wyomissing, PA 19610
Phone (484) 516-2937
560 Van Reed Rd
Ste 203
Wyomissing, PA 19610
Phone (484) 516-2937
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Wayne, PA
- NPI 1609590470
-
dba Renewed Vitality
- Obstetrics & Gynecology Physician
- Wyomissing, PA
- NPI 1548785801
-
- Dermatology Physician
- West Lawn, PA
- NPI 1942442553
-
- Ambulatory Surgical Clinic/Center
- Harrisburg, PA
- NPI 1528940962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1457315988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 W CENTRE ST",
"city": "ASHLAND",
"state": "PA",
"postal_code": "179211343",
"telephone_number": "717-808-1667",
"fax_number": "717-808-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 W CENTRE ST",
"city": "ASHLAND",
"state": "PA",
"postal_code": "179211343",
"telephone_number": "717-808-1667",
"fax_number": "717-808-1667"
}
],
"practiceLocations": [
{
"address_1": "560 Van Reed Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Wyomissing",
"state": "PA",
"postal_code": "196101799",
"country_code": "US",
"telephone_number": "484-516-2937",
"fax_number": "484-930-0229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOVASSAGHI",
"first_name": "JOHN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD426328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.