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

Benjamin Materi Jackson, MD

Individual provider Surgery Physician · NPI 1164588448

Benjamin Materi Jackson, MD is a Vascular Surgery in Allentown, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 2000, 26 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
26
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1259 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6206
Phone: (610) 402-9400
Fax: (610) 437-8807
Show map & directions

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

Additional practice locations (1)

  • 3400 Spruce Street, Philadelphia, PA 19104-4206 — (215) 615-4949

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD420325 (PA)
Surgery Physician Taxonomy 208600000X · Licence MD420325 (PA)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence MT047810T (PA)

Record details

NPI number1164588448
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address3400 Spruce Street, 4 Silverstein Building, Philadelphia, PA 19104-4206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2000 (26 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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