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JACOB LASER DO
NPI 1720720667
Student in an Organized Health Care Education/Training Program in Danville, PA

Active since April 11, 2022PECOS Enrolled
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 214-3673 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Laser Do NPPES

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

JACOB LASER DO (NPI 1720720667) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720720667
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB LASERCredential: DO
Location Address100 N ACADEMY AVEDanville, PA 17822-0001
Mailing Address85 Viscount Dr Unit A66Milford, CT 06460-5769 · (203) 640-0256
Phone(570) 214-3673
Sole ProprietorNo
Enumeration DateApril 11, 2022
NPPES CertifiedApril 11, 2022
✔ NPI 1720720667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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, Danville, PA 17822
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Laser Do 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.

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Jacob Laser's NPI number?

The NPI number for Jacob Laser is 1720720667. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Jacob Laser located?

Jacob Laser practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 214-3673.

What is Jacob Laser's specialty?

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

Is Jacob Laser enrolled in Medicare?

Yes. Jacob Laser is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Laser was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.