Individual provider Active NPI

Waed Jarjous, D.O.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1669600466
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OT013140 Issued in PA
Practice address
5501 Old York Rd
Albert Einstein Hospital,Attn: Department of Pediatrics
Philadelphia, PA 19141-3018
Phone
(215) 456-7890
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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 OT013140 PA Primary

Addresses

Primary practice location

5501 Old York Rd
Albert Einstein Hospital,Attn: Department of Pediatrics
Philadelphia, PA 19141-3018

Mailing address

2200 Benjamin Franklin Pkwy
Park Towne Place, West, Apt # 705 a
Philadelphia, PA 19130-3601
Phone (610) 730-8791

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
I20221026001466 PA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5597131938

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT013140PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital 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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1669600466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BENJAMIN FRANKLIN PKWY",
            "address_2": "PARK TOWNE PLACE, WEST, APT # 705 A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303601",
            "telephone_number": "610-730-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "ALBERT EINSTEIN HOSPITAL,ATTN: DEPARTMENT OF PEDIATRICS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARJOUS",
        "first_name": "WAED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT013140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.