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NPISignal

Individual Healthcare Provider

Jennifer Kosoy Shook, MD

NPI Record: ActivePediatrics — Adolescent Medicine
NPI1245657451
Hershey, Pennsylvania

Provider's NPPES record last updated: July 29, 2020

Overview

Entity Type
Individual Healthcare Provider
NPI
1245657451
Primary Specialty
Pediatrics — Adolescent Medicine
Practice Location
Hershey, Pennsylvania
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 5:09 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Adolescent Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

    Taxonomy code 2080A0000X

Provider-Reported License Information

Pediatrics (Pennsylvania)
MD471279
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

905 W Governor Rd Ste 200

Hershey, Pennsylvania 17033-2310

Phone: (717) 531-7235

Additional Practice Location

121 N Nyes Rd

Harrisburg, Pennsylvania 17112-3247

Phone: (800) 243-1455

Fax: (717) 531-0067

Additional Practice Location

500 University Dr

Hershey, Pennsylvania 17033-2360

Phone: (800) 243-1455

Fax: (717) 531-0067

Record Information

Enumeration Date
March 25, 2014
Provider's NPPES Record Last Updated
July 29, 2020
Certification Date
July 29, 2020
NPISignal NPPES Dataset
August 2026

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