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DR. JAY MARLIN NISSLEY M.D.
NPI 1215924345
Pediatrics in Lewisburg, PA

Active since October 04, 2005
55 MEDICAL PARK DR, LEWISBURG, PA 17837(570) 523-3264(570) 523-3465 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay Marlin Nissley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY MARLIN NISSLEY M.D. (NPI 1215924345) is an individual pediatrics provider in Lewisburg, Pennsylvania, licensed in Pennsylvania (MD011004E) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1215924345
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAY MARLIN NISSLEYCredential: M.D.
Location Address55 MEDICAL PARK DRLewisburg, PA 17837-6343
Mailing Address55 Medical Park DrLewisburg, PA 17837-6343 · (570) 523-3264 · Fax (570) 523-3465
Phone(570) 523-3264
Fax(570) 523-3465
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateNovember 10, 2011
✔ NPI 1215924345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD011004E
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 MEDICAL PARK DR, Lewisburg, PA 17837
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Other Identifiers 2

Medicare UPINE77273PA
Medicaid0008831050003PA

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELAM R STOLTZFUS M.D.
Pediatrics
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264
SHALINI KHURANA MD
Pediatrics
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264
LAURA E WYMAN CPNP, CRNP
Nurse Practitioner
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264
MRS. DANA MARIE SMITH D.O.
Pediatrics
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264
LEWISBURG PEDIATRICS
Pediatrics
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264
DR. DAVID M CASTELLAN M.D.
Pediatrics
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264
REBECCA HENDRICKS
Nurse Practitioner (Pediatrics)
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264
DR. ERIC J. SCHUCK M.D.
Pediatrics
55 MEDICAL PARK DR
LEWISBURG, PA 17837
Union County (570) 523-3264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Nissley's NPI number?

The NPI number for Jay Nissley is 1215924345. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Jay Nissley located?

Jay Nissley practices at 55 Medical Park Dr, Lewisburg, PA 17837. The listed phone number is (570) 523-3264.

What is Jay Nissley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jay Nissley was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.