Active NPI
Jay J Constantine, MD
- Endocrinology, Diabetes & Metabolism Physician
- Media, PA
National Provider Identifier
1841283066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD026063E
- Practice address
- 100 W 6TH St
Ste 5
Media, PA 19063-2428 - Phone
- (610) 566-8342
- Fax
- (610) 891-8566
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD026063E | PA | Primary |
Addresses
Primary practice location
100 W 6TH St
Ste 5
Media, PA 19063-2428
Mailing address
100 W 6TH St
Ste 5
Media, PA 19063-2428
Phone (610) 566-8342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4298492 | Other | AETNA USH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1841283066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 6TH ST",
"address_2": "STE 5",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632428",
"telephone_number": "610-566-8342",
"fax_number": "610-891-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 6TH ST",
"address_2": "STE 5",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632428",
"telephone_number": "610-566-8342",
"fax_number": "610-891-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANTINE",
"first_name": "JAY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD026063E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USH",
"identifier": "4298492",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.