Provider Demographics
NPI:1508966516
Name:JAFFE, JAMISON S (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMISON
Middle Name:S
Last Name:JAFFE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD STE 225
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1237
Practice Address - Country:US
Practice Address - Phone:215-710-4490
Practice Address - Fax:215-710-4491
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2021-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS011145208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7536872OtherAETNA
PA1018215200002Medicaid
PA001928885OtherHIGHMARK BLUE SHIELD
PA1018215200001Medicaid
1508966516OtherNPI
PA2797887000OtherKEYSTONE IBC
PAP01322742OtherRAILROAD MEDICARE
PA30153727OtherKEYSTONE FIRST
PA6566293OtherCIGNA PA
PA30153727OtherKEYSTONE FIRST
PA1018215200002Medicaid