Active NPI
Jeffry Alan Lindenbaum, D.O
- Family Medicine Physician
- Feasterville Trevose, PA
National Provider Identifier
1922189315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-003465-L
- Practice address
- 75 E Street Rd
Feasterville Trevose, PA 19053-6047 - Phone
- (267) 684-1047
- Fax
- (267) 684-1048
- NPI assigned
- Oct 18, 2006
- Last updated
- Apr 6, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-003465-L | PA | Primary |
Addresses
Primary practice location
75 E Street Rd
Feasterville Trevose, PA 19053-6047
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00648197 | Medicaid | PA |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-003465-L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon R Johnson D O P C | Past | Accepting new patients | |
| JL Pain Management Assoc, LLC | Past | Accepting new patients |
Interoperability endpoints
- jlindenbaum@direct.meditouchehr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1922189315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-968-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E STREET RD",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190536047",
"telephone_number": "267-684-1047",
"fax_number": "267-684-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDENBAUM",
"first_name": "JEFFRY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-003465-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00648197",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.