Active NPI
Tayyaba Saeed Jan, M.D.
- Pediatric Adolescent Medicine Physician
- Allentown, PA
National Provider Identifier
1972573129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD027729E
- Practice address
- 7615 Tilghman St
Allentown, PA 18106-9345 - Phone
- (610) 366-9990
- Fax
- (610) 366-9930
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD027729E | PA | Primary |
Addresses
Primary practice location
7615 Tilghman St
Allentown, PA 18106-9345
Mailing address
7615 Tilghman St
Allentown, PA 18106-9345
Phone (610) 366-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0934920 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027729E | PA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Past | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Allentown, PA
- NPI 1811384712
-
- Maternal & Fetal Medicine Physician
- Fountain Hill, PA
- NPI 1003867623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1972573129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7615 TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181069345",
"telephone_number": "610-366-9990",
"fax_number": "610-366-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7615 TILGHMAN ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181069345",
"telephone_number": "610-366-9990",
"fax_number": "610-366-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAN",
"first_name": "TAYYABA",
"middle_name": "SAEED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "MD027729E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0934920",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.