Active NPI
Jonathan R Pletcher, M.D.
- Pediatric Adolescent Medicine Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD059202L
- Practice address
- 3420 5TH Ave
Lower Level
Pittsburgh, PA 15213-3205 - Phone
- (412) 692-6309
- Fax
- (412) 692-8584
- NPI assigned
- Aug 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD059202L | PA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD059202L | PA | Primary |
Addresses
Primary practice location
3420 5TH Ave
Lower Level
Pittsburgh, PA 15213-3205
Mailing address
3420 5TH Ave
Lower Level
Pittsburgh, PA 15213-3205
Phone (412) 692-6309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001632496 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD059202L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Healthcare Associates of New Jersey, PC | Current | Accepting new patients | |
| Childens Health Care Associates of New Jersey PC | Current | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Pediatrics | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Childrens Hospital of Philadelphia | Past | Accepting new patients |
Locations
707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3550 Market St
Fl 4
Philadelphia, PA 19104
Phone (215) 590-2178
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Voorhees, NJ
- NPI 1467547471
-
- Neonatal-Perinatal Medicine Physician
- Plainsboro, NJ
- NPI 1194964593
-
- Children's Hospital
- Philadelphia, PA
- NPI 1215921457
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1841209327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 5TH AVE",
"address_2": "LOWER LEVEL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133205",
"telephone_number": "412-692-6309",
"fax_number": "412-692-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 5TH AVE",
"address_2": "LOWER LEVEL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133205",
"telephone_number": "412-692-6309",
"fax_number": "412-692-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLETCHER",
"first_name": "JONATHAN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD059202L",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD059202L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001632496",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.