Provider Demographics
NPI:1932087327
Name:PRIMARY HEALTH OF CENTRAL PA P.C.
Entity type:Organization
Organization Name:PRIMARY HEALTH OF CENTRAL PA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSALITA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-612-3032
Mailing Address - Street 1:1108 E CHOCOLATE AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1242
Mailing Address - Country:US
Mailing Address - Phone:717-256-2131
Mailing Address - Fax:949-864-3991
Practice Address - Street 1:1108 E CHOCOLATE AVE STE 400
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1242
Practice Address - Country:US
Practice Address - Phone:717-256-2131
Practice Address - Fax:949-864-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty