Active NPI
Jason Ric Tolentino
- Physical Medicine & Rehabilitation Physician
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT021780
- Practice address
- 4035 Green Pond Rd
Bethlehem, PA 18020-9662 - Phone
- (610) 865-5580
- NPI assigned
- Mar 25, 2019
- Last updated
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT021780 | PA | Primary |
Addresses
Primary practice location
4035 Green Pond Rd
Bethlehem, PA 18020-9662
Mailing address
608 Stocker St
Stewartsville, NJ 08886-3238
Phone (908) 247-0664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021780 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Rehabilitation Extension Services LLC | Current | Accepting new patients | |
| H2 Rehabilitation Extension Services, LLC | Current | Accepting new patients | |
| H2 Rehabilitation Extension Services LLC | Past | Accepting new patients | |
| H2 Health and Rehabilitation Services, LLC | Past | Accepting new patients | |
| H2 Rehabilitation Extension Services LLC | Past | Accepting new patients | |
| H2 Rehabilitation Extension Services, LLC | Past | Accepting new patients | |
| H2 Rehabilitation Extension Services, LLC | Past | Accepting new patients | |
| H2 Rehabilitation Extension Services, LLC | Past | Accepting new patients |
Locations
137 Montgomery Ave
Ste 205
Boyertown, PA 19512
Phone (484) 658-3150
2733 State Route 45
Ste 6
Milton, PA 17847
Phone (570) 955-3940
7 S New St
Ste 1
Nazareth, PA 18064
Phone (610) 755-8634
1948 E 3rd St
Ste C5
Williamsport, PA 17701
Organizations & group practices 8
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.
-
dba H2 Health
- Rehabilitation Clinic/Center
- Nazareth, PA
- NPI 1457706822
-
dba H2 Health
- Rehabilitation Clinic/Center
- Williamsport, PA
- NPI 1447012000
-
dba H2 Health
- Rehabilitation Clinic/Center
- Wilkes Barre, PA
- NPI 1235519398
-
dba H2 Health
- Rehabilitation Clinic/Center
- Bath, PA
- NPI 1154862175
-
dba H2 Health
- Rehabilitation Clinic/Center
- Sinking Spring, PA
- NPI 1437975059
-
dba H2 Health
- Rehabilitation Clinic/Center
- Milton, PA
- NPI 1699215806
-
dba H2 Health
- Rehabilitation Clinic/Center
- Williamsport, PA
- NPI 1740635127
-
dba H2 Health
- Rehabilitation Clinic/Center
- Boyertown, PA
- NPI 1780039149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1528528593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 STOCKER ST",
"city": "STEWARTSVILLE",
"state": "NJ",
"postal_code": "088863238",
"telephone_number": "908-247-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 GREEN POND RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180209662",
"telephone_number": "610-865-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLENTINO",
"first_name": "JASON",
"middle_name": "RIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "PT021780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.