Abdulla Jastaniah, DO
Individual provider Active NPI Internal Medicine Physician · Milton, PA
NPI 1982307153 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1982307153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OT022703 (PA)
- Practice address
- 155 S Arch St
Milton, PA 17847-1172 - Phone
- (570) 742-2655
- Fax
- (570) 742-2886
- NPI assigned
- Mar 24, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230708000052 | PA | Order and Referring Only - Internal Medicine |
7911366968 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OT022703 | PA | |
| Internal Medicine Physician | 207R00000X | OT022703 | PA | Yes |
Addresses
Primary practice location
155 S Arch St
Milton, PA 17847-1172
Mailing address
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6520
Other providers in Milton, PA
- Mary Margaret Hilkert
- Corinne Hoke
- Ann Louise Hoover
- Amy Elizabeth Howell Harte
- Independent Home Health LLC
- Barbara E Johns
- Peter Maxfield Jones
- Oluchi Kalu
- Beth Keller
- A Edward Kessel Jr.
All providers in Milton, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.