Individual provider Active NPI

Jorge A. Prieto, M.D.

  • Gastroenterology Physician
  • Phila, PA
National Provider Identifier
1942269931
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD028441E Issued in PA
Practice address
1101 Chestnut St
Phila, PA 19107-3612
Phone
(215) 955-8900
Fax
(215) 955-5245
NPI assigned
Mar 20, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD028441E PA Primary

Addresses

Primary practice location

1101 Chestnut St
Phila, PA 19107-3612

Mailing address

132 S 10TH St
480 Main Building
Phila, PA 19107-5244
Phone (215) 955-8900

Other identifiers 2

IdentifierTypeStateIssuer
0010125520003MedicaidPA
3617203MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070430000184 PA Practitioner - Gastroenterology 9335163096 Reassigns benefits to 1 organization
I20101028001421 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 9335163096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Michigan Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1300 Wolf St
Philadelphia, PA 19148-2912
Phone (215) 952-1428

26 E Red Bank Ave
Woodbury, NJ 08096-1611
Phone (856) 848-4464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy230
Upper gastrointestinal (GI) endoscopy for acid reflux92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD028441EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians of New Jersey, P.C. Gastroenterology CurrentSince Apr 1, 2020 Accepting new patients
Dimarino-Kroop-Prieto Gastro Intestinal Associates PA CurrentSince Sep 26, 1989 Accepting new patients
Jefferson University Physicians CurrentSince Aug 1, 2015 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Dimarino-Kroop-Prieto Gastro-Intestinal Associates,PA Current Accepting new patients
Jefferson University Physicians Gastroenterology Past Accepting new patients

Locations

698 Mullica Hill Rd
Ste 310
Mullica Hill, NJ 08062
Phone (856) 848-4464

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

2950 College Dr
Ste 2G
Vineland, NJ 08360
Phone (856) 691-1129

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

26 E Red Bank Ave
Woodbury, NJ 08096
Phone (856) 848-4464

1101 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-4226

1300 Wolf St
Philadelphia, PA 19148
Phone (215) 952-9500

132 S 10th St
#480
Philadelphia, PA 19107
Phone (215) 955-3947

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1942269931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S 10TH ST",
            "address_2": "480 MAIN BUILDING",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191075244",
            "telephone_number": "215-955-8900",
            "fax_number": "215-955-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CHESTNUT ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191073612",
            "telephone_number": "215-955-8900",
            "fax_number": "215-955-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "JORGE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD028441E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010125520003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3617203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.