Individual provider Active NPI

Jae C. Hwang, D.O.

  • Family Medicine Physician
  • Blue Bell, PA
National Provider Identifier
1497016448
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017432 Issued in PA
Practice address
721 Skippack Pike Ste 3
Blue Bell, PA 19422-1700
Phone
(484) 622-6700
Fax
(484) 622-6720
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS017432 PA Primary

Addresses

Primary practice location

721 Skippack Pike Ste 3
Blue Bell, PA 19422-1700

Mailing address

PO Box 789967
Philadelphia, PA 19178-9967
Phone (484) 622-7395

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002461 PA Practitioner - Family Practice 1557674082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

210 Mall Blvd
Suite 101
King of Prussia, PA 19406-3260
Phone (215) 997-9441

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc. CurrentSince Jul 8, 2019 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. Family Medicine Current Accepting new patients
Fornance Physician Services,Inc Family Medicine CurrentSince Jul 8, 2019 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. Family Medicine Past Accepting new patients

Locations

676 DeKalb Pike
Ste 104
Blue Bell, PA 19422
Phone (215) 997-9441

721 Skippack Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 793-0600

100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400

612 Fayette St
Fl 2
Conshohocken, PA 19428
Phone (484) 622-6500

210 Mall Blvd
Ste 101
King of Prussia, PA 19406
Phone (610) 233-3693

210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726

342 W Germantown Pike
Ste 200
Norristown, PA 19403
Phone (610) 279-1500

1437 DeKalb St
Ste 201
Norristown, PA 19401
Phone (610) 272-5341

1330 Powell St
Ste 409
Norristown, PA 19401
Phone (484) 622-7510

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741

Interoperability endpoints

  • Direct secure messaging: jae.hwang@direct.einstein.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1497016448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789967",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191789967",
            "telephone_number": "484-622-7395",
            "fax_number": "484-622-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SKIPPACK PIKE STE 3",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221700",
            "telephone_number": "484-622-6700",
            "fax_number": "484-622-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JAE",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.