JACKSON PORTER HARVI DO
NPI 1407646615
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Jackson Porter Harvi Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON PORTER HARVI DO (NPI 1407646615) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Porter Harvi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
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 Jackson Harvi's NPI number?
The NPI number for Jackson Harvi is 1407646615. It was assigned to this individual provider in the NPPES registry on May 9, 2025.
Where is Jackson Harvi located?
Jackson Harvi practices at 4170 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6926.
What is Jackson Harvi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jackson Harvi enrolled in Medicare?
Yes. Jackson Harvi is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jackson Harvi was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Jackson Porter Harvi, DO · NPI 1407646615
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 9, 2025.
## Identity
- **NPI:** 1407646615 (Entity type: Individual)
- **Enumerated:** May 9, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4170 CITY AVE, Philadelphia, PA 19131-1610
- **Phone:** (215) 871-6926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407646615) · Data from the CMS NPPES public registry.