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JERSEY SHORE MEDICAL ASSOCIATES
NPI 1417019498
Family Medicine in Avis, PA

Active since December 15, 2006
104 EAST CENTRAL AVENUE, AVIS, PA 17721(570) 753-8620(570) 753-5489 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jersey Shore Medical Associates NPPES

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

JERSEY SHORE MEDICAL ASSOCIATES (NPI 1417019498) is a healthcare organization registered as a family medicine in Avis, Pennsylvania and active in the NPI registry since December 2006. The organization lists Carey W. Plummer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417019498
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJERSEY SHORE HOSPITAL FOUNDATION, INC
Location Address104 EAST CENTRAL AVENUEAvis, PA 17721
Mailing Address104 East Central Avenue, Po Box 430Avis, PA 17721 · (570) 753-8620 · Fax (570) 753-5489
Phone(570) 753-8620
Fax(570) 753-5489
Organization SubpartNo
Authorized OfficialCarey W. PlummerCeo · (570) 398-3101
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 3, 2014
✔ NPI 1417019498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
104 EAST CENTRAL AVENUE, Avis, PA 17721
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Other Names 1

Doing Business AsJersey Shore Medical Associates

Other Identifiers 7

OtherC2CEPA · Geisinger Health Plan
Other220807PA · First Priority Health
OtherCL3010PA · Railroad Medicare
Other555630PA · Blue Cross Blue Shield
Medicare ID-Type Unspecified555630PA
Other5938PA · Aetna
Medicaid1001557500008PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ALEXIS A YAKICH PA-C
Physician Assistant
104 EAST CENTRAL AVENUE
AVIS, PA 17721
Clinton County (570) 753-8620

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 Jersey Shore Hospital Foundation, Inc's NPI number?

The NPI number for Jersey Shore Hospital Foundation, Inc is 1417019498. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is doing business as Jersey Shore Medical Associates.

Where is Jersey Shore Hospital Foundation, Inc located?

Jersey Shore Hospital Foundation, Inc is located at 104 East Central Avenue, Avis, PA 17721. The listed phone number is (570) 753-8620.

What is Jersey Shore Hospital Foundation, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jersey Shore Hospital Foundation, Inc was last updated on April 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.