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MR. JASON ROBERT SMITH PA-C
NPI 1689759862
Physician Assistant - Surgical in Philadelphia, PA

Active since October 26, 2006
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 426-5546(215) 386-4036 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2016, Jun 28, 2016, Mar 2, 2016 (3 updates tracked since 2016).

About Mr. Jason Robert Smith Pa-c NPPES

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

MR. JASON ROBERT SMITH PA-C (NPI 1689759862) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052891) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689759862
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JASON ROBERT SMITHCredential: PA-C
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (267) 426-5546 · Fax (215) 386-4036
Phone(267) 426-5546
Fax(215) 386-4036
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateSeptember 28, 20163 updates tracked since enumeration
✔ NPI 1689759862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in PA · MA052891✔ Licensed in NJ · 25MP00161900
Also ListedPhysician AssistantTaxonomy 363A00000X · License C5-0000717 (DE), C50000717 (DE)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 4

Other25MP00161900NJ · Nj License
Medicare UPINQ74729
OtherMA052891PA · Pennsylania Department Of State Bureau Of Professional And Occupational Affairs
OtherC5-0000717DE · Delaware Division Of Professional Regulation

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Jason Smith's NPI number?

The NPI number for Jason Smith is 1689759862. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Jason Smith located?

Jason Smith practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 426-5546.

What is Jason Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jason Smith was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.