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

Jersey Shore Hospital Foundation, Inc

Organization Family Medicine Physician · NPI 1417019498

Jersey Shore Hospital Foundation, Inc is a Family Medicine Physician in Avis, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 E Central Ave
Avis, PA 17721
Phone: (570) 753-8620
Fax: (570) 753-5489
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1417019498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carey Plummer — Ceo · (570) 398-3101
Other names Jersey Shore Medical Associates
NPI enumeratedDecember 15, 2006
Last updated in NPPESApril 3, 2014
Mailing address104 East Central Avenue, Po Box 430, Avis, PA 17721

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