Individual provider Active NPI

Paul M Villalon-Iglesias, PA

  • Physician Assistant
  • Camp Hill, PA
National Provider Identifier
1902992092
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002993L Issued in PA
Practice address
503 N 21St St
Camp Hill, PA 17011-2204
Phone
(717) 531-5638
Fax
(717) 531-0983
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00085900 NJ
Physician Assistant 363A00000X MA002993L PA Primary

Addresses

Primary practice location

503 N 21St St
Camp Hill, PA 17011-2204

Mailing address

500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208

Other practice location 1

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pvillaloniglesias@oip.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080513000392 PA Practitioner - Physician Assistant 4688743917 Reassigns benefits to 2 organizations
I20111027000059 NJ Practitioner - Physician Assistant 4688743917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

3025 Market St
Camp Hill, PA 17011-4518

3100 Schoolhouse Rd
Middletown, PA 17057-3548
Phone (717) 948-5180

500 Universidy Dr
Hershey, PA 17033-2360

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000921CTMDProfessional Counselor
25MP00085900NJMDPhysician Assistant
MA002993LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jan 12, 2025 Accepting new patients
Orthopedic Surgeons LTD CurrentSince Aug 23, 2021 Accepting new patients
Mercer Bucks Orthopaedics, P.C. CurrentSince Jan 1, 2002 Accepting new patients
Orthopedic Surgeons LTD CurrentSince Aug 23, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Jan 12, 2025 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

3120 Princeton Pike
Lawrenceville, NJ 08648
Phone (570) 558-6858

10 Forrestal Rd S
Ste 105
Princeton, NJ 08540
Phone (609) 655-1818

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

3025 Market St
Ste A
Camp Hill, PA 17011
Phone (717) 761-8900

3025 Market St
Ste B
Camp Hill, PA 17011
Phone (717) 691-1212

429 N 21st St
Camp Hill, PA 17011
Phone (717) 761-7244

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

1203 Langhorne Newtown Rd
Ste 220
Langhorne, PA 19047
Phone (215) 860-4274

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

3100 Schoolhouse Rd
Middletown, PA 17057
Phone (717) 948-5180

103 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 860-4270

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1902992092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-5208",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-531-5638",
            "fax_number": "717-531-0983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3399 Trindle Rd",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114407",
            "country_code": "US",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALON-IGLESIAS",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00085900",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002993L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pvillaloniglesias@oip.medentdirect.com",
            "affiliation": "N",
            "address_1": "3399 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.