Organization Active NPI

Jon Yardney, M.D. LLC

  • Health Maintenance Organization
  • Wayne, PA
National Provider Identifier
1851575005
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MD027508E Issued in PA
Legal business name
JON YARDNEY, M.D. LLC
Practice address
241 B Conestoga Rd
Suite B
Wayne, PA 19087-3916
Phone
(610) 688-5266
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Marc Jonathan Yardney, M.D.
Title
Doctor
Phone
(610) 688-5266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MD027508E PA Primary

Addresses

Primary practice location

241 B Conestoga Rd
Suite B
Wayne, PA 19087-3916

Mailing address

241 B Conestoga Rd
Suite B
Wayne, PA 19087-3916
Phone (610) 688-5266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831000115 PA Part B Supplier - Clinic/Group Practice 0547235814 Receives reassigned benefits from 3 practitioners
Practice locations: Wayne, PA

National Provider Directory

National Provider Directory

Locations

241 Conestoga Rd
Ste B
Wayne, PA 19087
Phone (610) 688-3015

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHEHBA

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1851575005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 B CONESTOGA RD",
            "address_2": "SUITE B",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873916",
            "telephone_number": "610-688-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 B CONESTOGA RD",
            "address_2": "SUITE B",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873916",
            "telephone_number": "610-688-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON YARDNEY, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "YARDNEY",
        "authorized_official_first_name": "MARC JONATHAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-688-5266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "MD027508E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.