Active NPI
Jason M Komasz, MD
- Pediatrics Physician
- Fort Washington, PA
National Provider Identifier
1952374746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD071900L
- Practice address
- 260 New York Dr
Fort Washington, PA 19034-2504 - Phone
- (215) 643-7331
- Fax
- (215) 654-0741
- NPI assigned
- Feb 10, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD071900L | PA | Primary |
Addresses
Primary practice location
260 New York Dr
Fort Washington, PA 19034-2504
Mailing address
595 W State St
505
Doylestown, PA 18901-2554
Phone (215) 933-0259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001849752 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Affiliates | Current | Accepting new patients | |
| Via Affiliates | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Via Affiliates | Current | Accepting new patients | |
| Childrens Health Care Associates, Inc | Pediatrics | Current | Accepting new patients |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Chester County Hospital | Past | Accepting new patients |
Locations
595 W State St
#505
Doylestown, PA 18901
595 W State St
Doylestown, PA 18901
Phone (215) 345-2200
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
3401 Civic Center Blvd
#M975
Philadelphia, PA 19104
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
- Vascular Surgery Physician
- Doylestown, PA
- NPI 1003446261
-
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1184719130
-
- Psychologist
- Warrington, PA
- NPI 1588489272
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Doylestown, PA
- NPI 1740852417
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1952374746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 W STATE ST",
"address_2": "505",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012554",
"telephone_number": "215-933-0259",
"fax_number": "215-933-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 NEW YORK DR",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342504",
"telephone_number": "215-643-7331",
"fax_number": "215-654-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMASZ",
"first_name": "JASON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD071900L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001849752",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.