Individual provider Active NPI

Jeyaseelan J Noble, MD FACS

  • Plastic Surgery Physician
  • Langhorne, PA
National Provider Identifier
1508847476
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD034497L Issued in PA
Practice address
402 Middletown Blvd
Suite 210
Langhorne, PA 19047-1818
Phone
(215) 752-4020
Fax
(215) 752-8807
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD034497L PA Primary
Plastic Surgery Physician 208200000X MA26512 NJ

Addresses

Primary practice location

402 Middletown Blvd
Suite 210
Langhorne, PA 19047-1818

Mailing address

402 Middletown Blvd
Suite 210
Langhorne, PA 19047-1818
Phone (215) 752-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA26512NJMDPlastic Surgery Physician
MD034497LPAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Dermatology Associates PC Past Accepting new patients
Tucker Chiropractic Center PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1508847476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD",
            "address_2": "SUITE 210",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-752-4020",
            "fax_number": "215-752-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD",
            "address_2": "SUITE 210",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-752-4020",
            "fax_number": "215-752-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "JEYASEELAN",
        "middle_name": "J",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD034497L",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA26512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.