=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962370544
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JARON SMITH NP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/27/2025
-----------------------------------------------------
Last Update Date | 10/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2 APRIL LN
-----------------------------------------------------
City | LEVITTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19055-1204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-565-6515
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 APRIL LN
-----------------------------------------------------
City | LEVITTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19055-1204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-565-6515
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | SP034301
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------