Provider Demographics
NPI:1285617878
Name:CHECK, JEROME H (MD, PHD)
Entity type:Individual
Prefix:
First Name:JEROME
Middle Name:H
Last Name:CHECK
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7447 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3006
Mailing Address - Country:US
Mailing Address - Phone:856-751-5575
Mailing Address - Fax:
Practice Address - Street 1:17000 COMMERCE PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2267
Practice Address - Country:US
Practice Address - Phone:856-751-5575
Practice Address - Fax:856-751-7289
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013399E207VE0102X, 207VG0400X
NJ25MA05411700207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C28929Medicare UPIN