Organization Active NPI

Jeffry a. Lindenbaum, D.O., PC

  • Family Medicine Physician
  • Yardley, PA
National Provider Identifier
1477634871
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-003465-L Issued in PA
Legal business name
JEFFRY A. LINDENBAUM, D.O., PC
Practice address
301 Oxford Valley Rd
Suite 1000
Yardley, PA 19067-7706
Phone
(267) 503-0130
Fax
(267) 503-0127
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Dr. Jeffry A Lindenbaum, D.O.
Title
President/Owner
Phone
(267) 503-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS-003465-L PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd
Suite 1000
Yardley, PA 19067-7706

Mailing address

301 Oxford Valley Rd
Suite 1000
Yardley, PA 19067-7706
Phone (267) 503-0130

Other identifiers 2

IdentifierTypeStateIssuer
00648197MedicaidPA
0012646760004MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1477634871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 1000",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "267-503-0130",
            "fax_number": "267-503-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "SUITE 1000",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "267-503-0130",
            "fax_number": "267-503-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRY A. LINDENBAUM, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "LINDENBAUM",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "267-503-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-003465-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00648197",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012646760004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.