Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jersey Shore Hospital

Organization Registered Dietitian · NPI 1306989967

Jersey Shore Hospital is a Registered Dietitian in Jersey Shore, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
6

Practice location Address checks out

1020 Thompson St
Jersey Shore, PA 17740-1729
Phone: (570) 398-0100
Fax: (570) 398-4412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 101401 (PA)
Registered Dietitian Taxonomy 133V00000X · Licence 101401 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 101401 (PA)
Critical Access Hospital Taxonomy 282NC0060X · Licence 101401 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 101401 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 101401 (PA)

Record details

NPI number1306989967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark O'Neill — Cfo · (570) 398-3100
Other names Jsecpa
NPI enumeratedFebruary 14, 2007
Last updated in NPPESOctober 27, 2007
Mailing address1020 Thompson St, Jersey Shore, PA 17740-1729

Other providers in Jersey Shore