NPIMap

Individual provider Active NPI

Thomas J Czajkowski, MD

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1134136385
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039406E Issued in PA
Practice address
3131 College Heights Blvd
Suite 2200
Allentown, PA 18104-4812
Phone
(610) 433-8615
Fax
(484) 403-4019
NPI assigned
Aug 1, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039406E PA Primary

Addresses

Primary practice location

3131 College Heights Blvd
Suite 2200
Allentown, PA 18104-4812

Mailing address

1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Phone (610) 973-1410

Other identifiers 3

IdentifierTypeStateIssuer
3184701OtherPACAPITAL BLUE CROSS
P00356018OtherPAPALMETTO GBA MEDICARE
515197OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000375 PA Practitioner - Family Practice 7810995248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

281 N 12TH St
LVPG Vascular Surgery
Lehighton, PA 18235-1101
Phone (610) 402-9400

281 N 12TH St B
Lehighton, PA 18235-1101
Phone (610) 377-7793

281 N 12TH St F
LVPG Obstetrics and Gynecology
Lehighton, PA 18235-1101
Phone (610) 377-5959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039406EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince May 18, 2009 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 18, 2009 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients

Locations

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

1901 Hamilton St
Ste 100B
Allentown, PA 18104
Phone (610) 973-1410

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3131 College Heights Blvd
Ste 2200
Allentown, PA 18104
Phone (610) 433-8615

36 S 17th St
Allentown, PA 18104
Phone (610) 433-8615

401 N 17th St
Ste 201
Allentown, PA 18104
Phone (215) 432-6862

798 Hausman Rd
Ste 240
Allentown, PA 18104
Phone (484) 223-3300

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

Interoperability endpoints

  • Direct secure messaging: thomas.czajkowskimd.p1@direct.secureehr.nextgenshare.com

Organizations & group practices 4

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

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1134136385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD",
            "address_2": "SUITE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD",
            "address_2": "SUITE 2200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044812",
            "telephone_number": "610-433-8615",
            "fax_number": "484-403-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAJKOWSKI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039406E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "3184701",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "P00356018",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "515197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.