Active NPI
Jaclyn Milici, D.O.
- Surgery Physician
- Abington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OT016332
- Practice address
- 1200 Old York Rd
Abington, PA 19001-3720 - Phone
- (215) 481-7464
- NPI assigned
- May 29, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OT016332 | PA | Primary |
Addresses
Primary practice location
1200 Old York Rd
Abington, PA 19001-3720
Mailing address
1200 Old York Rd
Abington, PA 19001-3720
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222
2301 S Broad St
Philadelphia, PA 19148-3542
380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111
Hospital & facility affiliations
- Jefferson Abington Hospital
- Jefferson Lansdale Hospital
- Jefferson Health- Northeast
- Thomas Jefferson University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.59 of 100
- Quality
- 87.71
- Improvement activities
- 40
- Cost
- 77.02
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 15 |
| Leg revascularization (restoring blood flow) | 60 |
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT016332 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Surgical Care Specialists Inc | Surgery | Current | Accepting new patients |
| Abington Memorial Hospital | Past | Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
1245 Highland Ave
Ste 600
Abington, PA 19001
Phone (215) 887-3990
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CECJAA
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
- Surgery Physician
- Abington, PA
- NPI 1346386398
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1740669225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013720",
"telephone_number": "215-481-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILICI",
"first_name": "JACLYN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-29",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OT016332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
- Luis Mercader, M.D.
- Meagan White Merritt, PT, DPT
- Donna Meyers
- Michelle Lynn Middaugh, PT
- Andrew J Milano, PA-C
- Marjorie Alice Miller-Mayer, MSN, CRNP
- Mackenzie Miller, LPC
- Kathleen Hartman Milligan, C.R.N.P.
- Mindful Exposure Therapy for Anxiety and Psychological Wellness Center
- Catherine Lin Minter, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.