Jeffersonville Internal Medicine, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JEFFERSONVILLE INTERNAL MEDICINE, P.C.

Practice address

1550 W Main St
Jeffersonville, PA 19403-3228

Phone

(610) 635-1712

Fax

(610) 635-1716

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Michael Conrad Roman, D.O.NPI 1073576849

Title

President

Phone

(610) 635-1712

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Conrad Roman, D.O.

  • Internal Medicine Physician
  • Jeffersonville, PA
  • NPI 1073576849
  Medicare reassignment NPD Authorized official
• John J Zaro Jr., DO

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1720096571
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831131564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033228",
            "telephone_number": "610-635-1712",
            "fax_number": "610-635-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033228",
            "telephone_number": "610-635-1712",
            "fax_number": "610-635-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONVILLE INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-635-1712",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS009124L",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zakiya R Hill
• HRPC
• Stephanie Anna Ingrassia, R.N.
• Jeffersonville Smiles PC
• Lifeline Chiropractic, Inc.
• Main Street Counseling, LLC
• Pamela Martin, L.P.C.
• Huub Jozef Mulders, MD

• General Practice Physician in Jeffersonville, PA
• Providers in Jeffersonville, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.