Active NPIIndividual providerSole proprietor

Dr. Jason T Ackrivo, MD

Internal Medicine, Pulmonary Disease in Philadelphia, Pennsylvania

NPI Number1003115395
Practice location
3400 Spruce St, Philadelphia, PA 19104-4230
Fax
—
Last updated
November 5, 2018

Jason Thomas Ackrivo is an Internal Medicine, Pulmonary Disease based in Philadelphia, PA. Jason Thomas Ackrivo practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Jason Thomas Ackrivo is 1003115395 and holds a License No. MD458117 (PA). The current practice location address for Jason Thomas Ackrivo is 3400 Spruce St, Philadelphia, PA 19104-4230 and can be reached out via phone at 215-614-0871.

Provider Profile Details

NPI Number
1003115395
Provider Name
Jason Thomas Ackrivo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Spruce St, Philadelphia, PA 19104-4230
Phone Number
215-614-0871
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2011
Last Update Date
November 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3400 Spruce St
Philadelphia, PA 19104-4230
Zip
19104-4230
Phone Number
215-614-0871
Philadelphia, PA 19104Get directions →

Provider Business Mailing Address Details

Address
3400 Spruce St
Philadelphia, PA 19104-4230
City
Philadelphia
State
PA
Zip
19104-4230
Phone Number
215-614-0871

License Information

License Number
MD458117
License State
PA
Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jason T Ackrivo, MD?

The NPI number of Dr. Jason T Ackrivo, MD is 1003115395. It was assigned on March 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason T Ackrivo, MD?

Dr. Jason T Ackrivo, MD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in PA under license number MD458117.

Where does Dr. Jason T Ackrivo, MD practice?

The practice location is 3400 Spruce St, Philadelphia, PA 19104-4230. The office can be reached at 215-614-0871 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003115395 directly on the NPPES registry website.

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