Individual provider Active NPI

Evan Brody Lenkowsky, D.O.

  • Surgical Critical Care Physician
  • Danville, PA
National Provider Identifier
1144477589
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
OS014933 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-3902
Phone
(570) 271-6389
Fax
(570) 271-6021
NPI assigned
Aug 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS014933 PA
Emergency Medicine Physician 207P00000X 25MB08393300 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB08393300 NJ
Surgical Critical Care Physician 2086S0102X OS014933 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-3902

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

97 W Parkway
Pompton Plains, NJ 07444-1647
Phone (973) 831-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100629000372 PA Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 3678604055 Reassigns benefits to 2 organizations
I20171215001095 NY Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 3678604055 Reassigns benefits to 1 organization
I20191029003134 NJ Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 3678604055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

97 W Pkwy
2ND Floor
Pompton Plains, NJ 07444-1647
Phone (973) 831-5063

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Emergency Medicine CurrentSince May 17, 2022 Accepting new patients
Jersey Intensivist Associates LLC Critical Care Medicine CurrentSince Jul 7, 2021 Accepting new patients
Critical Care Physician of New York PC Critical Care Medicine CurrentSince Oct 18, 2017 Accepting new patients
ICU NJ, PC CurrentSince Jul 15, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
Critical Care Physicians of Pennsylvania PC Critical Care Medicine CurrentSince Feb 8, 2012 Accepting new patients
Geisinger Clinic CurrentSince Nov 18, 2019 Accepting new patients
Mid Columbia Eyecare Center, Inc, PS Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Doylestown Emergency Associates PC Past Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

97 W Parkway
Fl 2
Pompton Plains, NJ 07444
Phone (908) 598-6610

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

100 N Academy Ave
Danville, PA 17822

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1331 E Wyoming Ave
Philadelphia, PA 19124
Phone (215) 537-7400

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: elenkowsky446513@direct.ahsys.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1144477589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223902",
            "telephone_number": "570-271-6389",
            "fax_number": "570-271-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 W Parkway",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441647",
            "country_code": "US",
            "telephone_number": "973-831-5155",
            "fax_number": "973-907-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENKOWSKY",
        "first_name": "EVAN",
        "middle_name": "BRODY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS014933",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08393300",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB08393300",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "OS014933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.