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: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 N HANOVER ST
HERSHEY PA
17033-2429
US

IV. Provider business mailing address

422 N HANOVER ST
HERSHEY PA
17033-2429
US

V. Phone/Fax

Practice location:
  • Phone: 405-612-3032
  • Fax:
Mailing address:
  • Phone: 405-612-3032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JASON ASSALITA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DO
Phone: 405-612-3032