Healthcare Provider Details

I. General information

NPI: 1932087327
Provider Name (Legal Business Name): PRIMARY HEALTH OF CENTRAL PA P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 E CHOCOLATE AVE STE 2
HERSHEY PA
17033-1242
US

IV. Provider business mailing address

1108 E CHOCOLATE AVE STE 2
HERSHEY PA
17033-1242
US

V. Phone/Fax

Practice location:
  • Phone: 717-707-0090
  • Fax: 949-864-3991
Mailing address:
  • Phone: 717-707-0090
  • Fax: 949-864-3991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON ASSALITA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DO
Phone: 717-256-2131