Dr. Jared Samuel Meshekow, M.D., M.P.H.
Radiology, Diagnostic Radiology in Philadelphia, PA. Individual provider (NPI-1).
Details
- NPI
- 1447516299
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jared Samuel Meshekow
- Credential
- M.D., M.P.H.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2012
- Certification date
- Dec 30, 2024
- Last updated
- Dec 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD460430 | PA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 25MA10105200 | NJ |
Practice location
3401 N Broad StPhiladelphia, PA 19140-5103
Phone 215-707-7237 · Fax 215-707-9389
Mailing address
3500 N Broad StPhiladelphia, PA 19140-4106
Phone 215-707-3411
Other practice locations
Camden, NJ 08103-1461
Phone 856-342-2000
Valhalla, NY 10595
Phone 914-493-7000 · Fax 914-493-2501
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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