Active NPI
Lee Jaffee, D.O.
- Pediatrics Physician
- Elkins Park, PA
National Provider Identifier
1831146182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS-006421-L
- Practice address
- 1939 W Cheltenham Ave
Elkins Park, PA 19027-1046 - Phone
- (215) 884-5715
- Fax
- (215) 884-1442
- NPI assigned
- May 30, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS-006421-L | PA | Primary |
Addresses
Primary practice location
1939 W Cheltenham Ave
Elkins Park, PA 19027-1046
Mailing address
1939 W Cheltenham Ave
Elkins Park, PA 19027-1046
Phone (215) 884-5715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-006421-L | PA | MD | Pediatrics Physician |
Interoperability endpoints
- drjaffee@tricountypeds.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1831146182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 W CHELTENHAM AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271046",
"telephone_number": "215-884-5715",
"fax_number": "215-884-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 W CHELTENHAM AVE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271046",
"telephone_number": "215-884-5715",
"fax_number": "215-884-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFEE",
"first_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS-006421-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.