Individual provider Active NPI

Francis Jeyaraj, MD

  • Pediatrics Physician
  • Lansdale, PA
National Provider Identifier
1619976719
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD017012E Issued in PA
Practice address
1240 S Broad St Ste 130
Lansdale, PA 19446-5395
Phone
(215) 361-5040
Fax
(215) 393-5441
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD017012E PA Primary

Addresses

Primary practice location

1240 S Broad St Ste 130
Lansdale, PA 19446-5395

Mailing address

1240 S Broad St Ste 130
Lansdale, PA 19446-5395
Phone (215) 361-5040

Other practice location 1

1013 S Broad St
Lansdale, PA 19446-5338
Phone (215) 361-5040

Other identifiers 1

IdentifierTypeStateIssuer
0007330910004MedicaidPA

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
MD017012EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lansdale Pediatric and Adolescent Medical Associates, LLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1619976719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S BROAD ST STE 130",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465395",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S BROAD ST STE 130",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465395",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194465338",
            "country_code": "US",
            "telephone_number": "215-361-5040",
            "fax_number": "215-393-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEYARAJ",
        "first_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD017012E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007330910004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.