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

Dr. Jack I Jallo, MD

Individual provider Neurological Surgery Physician · NPI 1720076706

Dr. Jack I Jallo, MD is a Neurosurgery in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 1990, 36 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Delaware, New Jersey and Pennsylvania.

Years since qualifying
36
Trained at
Temple University School of Medicine
Licensed in
DE, NJ, PA
In the registry since
2005
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

909 Walnut St 2nd Fl
Philadelphia, PA 19107-5211
Phone: (215) 955-7000
Fax: (215) 503-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 — (856) 256-7591
  • 443 Laurel Oak Rd Ste 130, Voorhees, NJ 08043-4419 — (856) 741-0122
  • 3 Crescent Dr Fl 3, Philadelphia, PA 19112-1016 — (215) 503-3321

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD048313L (PA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence C1-0013235 (DE)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 25MA06897900 (NJ)

Record details

NPI number1720076706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2005
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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