JEREMY D WITCOSKI PA NPI 1407845845

NPI Information

NPI: 1407845845
Provider Name: JEREMY D WITCOSKI, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
250 CETRONIA RD
ALLENTOWN, PA
ZIP 18104
Phone: (610) 973-6200
Get Directions

Jeremy D Witcoski, PA is a surgical physician assistant in Allentown, PA with 20 years of experience. Jeremy D Witcoski, PA NPI is 1407845845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 CETRONIA RD
ALLENTOWN, PA
ZIP 18104-147
Phone: (610) 973-6200
Fax: (866) 644-0894

The NPI 1407845845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 5/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA9103071	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	MA056681	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U3984Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	Q31660	MEDICARE UPIN	FLORIDA
3	K2434	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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