IFA ABDULJELIL
NPI 1659174480
Student in an Organized Health Care Education/Training Program in Danville, PA

Active since March 28, 2025PECOS Enrolled
100 N ACADEMY AVE OFC, DANVILLE, PA 17822(570) 214-7866 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ifa Abduljelil NPPES

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

IFA ABDULJELIL (NPI 1659174480) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659174480
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIFA ABDULJELIL
Location Address100 N ACADEMY AVE OFCDanville, PA 17822-9800
Mailing Address100 N Academy Ave OfcDanville, PA 17822-9800 · (570) 214-7866
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1659174480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 N ACADEMY AVE OFC, Danville, PA 17822

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ifa Abduljelil is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Ifa Abduljelil's NPI number?

The NPI number for Ifa Abduljelil is 1659174480. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Ifa Abduljelil located?

Ifa Abduljelil practices at 100 N Academy Ave Ofc, Danville, PA 17822. The listed phone number is (570) 214-7866.

What is Ifa Abduljelil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ifa Abduljelil enrolled in Medicare?

Yes. Ifa Abduljelil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ifa Abduljelil was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.