Individual provider Active NPI

Janson Jacob, MD

  • Gastroenterology Physician
  • Malvern, PA
National Provider Identifier
1629638614
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MT225674 Issued in PA
Practice address
325 Central Ave
Malvern, PA 19355-3265
Phone
(610) 644-6755
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4351044320 MI
Gastroenterology Physician 207RG0100X MT225674 PA Primary

Addresses

Primary practice location

325 Central Ave
Malvern, PA 19355-3265

Mailing address

707 Eagleview Blvd
Exton, PA 19341-1159
Phone (610) 644-6755

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
I20241214000514 PA Practitioner - Internal Medicine 6204162233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 252
Wynnewood, PA 19096-3432
Phone (610) 896-7360

1088 W Baltimore Pike HCC II
2 Main Line Gastroenterology Associates PC
Media, PA 19063-5136
Phone (610) 565-1808

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

650 Carnegie Blvd
Suite 100
Malvern, PA 19355-8519
Phone (610) 644-6755

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Upper gastrointestinal (GI) endoscopy for acid reflux35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT225674PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Aug 2, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 5, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 5, 2024 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Aug 2, 2025 Accepting new patients
Main Line Gastroenterology Associates, PC Gastroenterology Past Accepting new patients
Main Line Endoscopy Center LLC PastSince Jun 15, 2025 Accepting new patients

Locations

1627 Chew St
Ste 101
Allentown, PA 18102

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3780 Hecktown Rd
Easton, PA 18045
Phone (610) 333-8888

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

325 Central Ave
Malvern, PA 19355
Phone (610) 234-7900

650 Carnegie Blvd
Ste 100
Malvern, PA 19355

325 Central Ave
Fl 2
Malvern, PA 19355

325 Central Ave
Ste 200
Malvern, PA 19355

700 Steel Ln
Ste 100
Malvern, PA 19355
Phone (610) 644-7274

300 Lackawanna Ave
Ste 200
Scranton, PA 18503
Phone (570) 342-7864

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

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.

Hospital & facility affiliations 4

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1629638614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411159",
            "telephone_number": "610-644-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CENTRAL AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553265",
            "telephone_number": "610-644-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JANSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351044320",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MT225674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.