Individual provider Active NPI

Sean Duffy

  • Physician Assistant
  • Pottstown, PA
National Provider Identifier
1104306117
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060255 Issued in PA
Practice address
119 Shoemaker Rd
Pottstown, PA 19464-6429
Phone
(610) 427-4919
NPI assigned
Aug 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060255 PA Primary

Addresses

Primary practice location

119 Shoemaker Rd
Pottstown, PA 19464-6429

Mailing address

1667 Victoria Cir
Allentown, PA 18103-6474

Other practice location 1

1667 Victoria Cir
Allentown, PA 18103-6474
Phone (609) 975-2573

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220000141 PA Practitioner - Physician Assistant 4981949906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Pennsylvania Medical Group PLLCGroup PAC ID 5193900280, 132 clinicians

Practice addresses (Care Compare)

119 Shoemaker Rd
Pottstown, PA 19464-6429
Phone (610) 427-4919

133 Lancaster Ave
Devon, PA 19333-1503
Phone (484) 581-2990

1411 S Collegeville Rd
Collegeville, PA 19426-2957
Phone (484) 902-1893

2310 Schoenersville Rd
Bethlehem, PA 18017-3602
Phone (484) 403-7560

2600 Papermill Rd
Wyomissing, PA 19610-3362
Phone (484) 220-0051

3178 W Tilghman St
Allentown, PA 18104-4222
Phone (610) 844-9150

5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060255PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Sep 5, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Sep 5, 2024 Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients

Locations

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

119 Shoemaker Rd
Pottstown, PA 19464
Phone (610) 427-4919

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: paexchange@patientfirstclinics.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1104306117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 VICTORIA CIR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SHOEMAKER RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646429",
            "telephone_number": "610-427-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1667 Victoria Cir",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036474",
            "country_code": "US",
            "telephone_number": "609-975-2573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-19",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "119 Shoemaker Rd",
            "city": "Pottstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194646429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.