Active NPI
Jason Alcantara, MHS, PA-C
- Medical Physician Assistant
- Wynnewood, PA
National Provider Identifier
1699064451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054838
- Practice address
- 100 E Lancaster Ave
Suite 233
Wynnewood, PA 19096-3450 - Phone
- (484) 458-1000
- Fax
- (610) 642-2036
- NPI assigned
- Apr 1, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054838 | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
Suite 233
Wynnewood, PA 19096-3450
Mailing address
100 E Lancaster Ave
Suite 233
Wynnewood, PA 19096-3450
Phone (484) 458-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA054838 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of New Jersey PA | Current | Accepting new patients | |
| American Current Care P.a . | Current | Accepting new patients |
Locations
211 Benigno Blvd
Ste 202
Bellmawr, NJ 08031
Phone (856) 931-0691
1017 4th Ave
#200
Essington, PA 19029
Phone (610) 521-6880
2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Carlisle, PA
- NPI 1386122828
-
- Urgent Care Clinic/Center
- Cherry Hill, NJ
- NPI 1831481589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1699064451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "SUITE 233",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "484-458-1000",
"fax_number": "610-642-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "SUITE 233",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "484-458-1000",
"fax_number": "610-642-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCANTARA",
"first_name": "JASON",
"credential": "MHS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.