Individual provider Active NPI

Jason J Bofinger, MD

  • Infectious Disease Physician
  • Philadelphia, PA
National Provider Identifier
1740278647
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD423659 Issued in PA
Practice address
301 S 8TH St
Suite 1B
Philadelphia, PA 19106-4000
Phone
(215) 829-5354
Fax
(215) 829-7132
NPI assigned
Oct 13, 2005
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD423659 PA Primary

Addresses

Primary practice location

301 S 8TH St
Suite 1B
Philadelphia, PA 19106-4000

Mailing address

301 S. 8TH Street
Ste. 1B, Duncan BLDG.
Philadelphia, PA 19104-2614
Phone (215) 829-5354

Other identifiers 1

IdentifierTypeStateIssuer
1010042030001MedicaidPA

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
I20040721000899 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 4789664798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Perelman School of Med at the University of Pennsylvania, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

700 Spruce St
Suite 304
Philadelphia, PA 19106-4023
Phone (215) 829-3521

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD423659PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jun 1, 2008 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jun 1, 2008 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients

Locations

301 S 8th St
Ste 1B
Philadelphia, PA 19106
Phone (215) 242-1367

700 Spruce St
Ste 304
Philadelphia, PA 19106
Phone (215) 829-3521

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1740278647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S. 8TH STREET",
            "address_2": "STE. 1B, DUNCAN BLDG.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "215-829-5354",
            "fax_number": "215-829-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "SUITE 1B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-5354",
            "fax_number": "215-829-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOFINGER",
        "first_name": "JASON",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD423659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010042030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.