Active NPI
Christian J Laputka, PA
- Physician Assistant
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA004167
- Practice address
- 1200 S Cedar Crest Blvd
Allentown, PA 18103-6202 - Phone
- (484) 402-8111
- Fax
- (610) 402-1698
- NPI assigned
- Sep 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA004167 | PA | Primary |
Addresses
Primary practice location
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-5337
Other practice location 1
2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-2521
Other practice location 2
700 E Broad St
Hazleton, PA 18201-6835
Phone (570) 501-4193
Other practice location 3
1627 Chew St
Allentown, PA 18102-3648
Phone (610) 969-2226
Other practice location 4
421 Chew St
Allentown, PA 18102-3406
Phone (610) 776-4622
Other practice location 5
300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 988-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103439068 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Front St
Harrisburg, PA 17101-2010
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 988-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA004167 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388
421 Chew St
Allentown, PA 18102
Phone (610) 776-4500
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000
Interoperability endpoints
- claputka293888@upmc.direct-ci.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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Harrisburg, PA
- NPI 1487693404
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
dba LVPG Family and Internal Medicine - 3080 Hamilton Blvd
- Internal Medicine Physician
- Allentown, PA
- NPI 1588944953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1174041537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-5337",
"fax_number": "484-884-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036202",
"telephone_number": "484-402-8111",
"fax_number": "610-402-1698"
}
],
"practiceLocations": [
{
"address_1": "2545 Schoenersville Rd",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180177300",
"country_code": "US",
"telephone_number": "484-884-2521",
"fax_number": "610-861-7783",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 E Broad St",
"address_purpose": "LOCATION",
"city": "Hazleton",
"state": "PA",
"postal_code": "182016835",
"country_code": "US",
"telephone_number": "570-501-4193",
"fax_number": "570-501-4109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1627 Chew St",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181023648",
"country_code": "US",
"telephone_number": "610-969-2226",
"fax_number": "610-969-9623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 Chew St",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181023406",
"country_code": "US",
"telephone_number": "610-776-4622",
"fax_number": "610-776-5156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Highland Ave",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173312297",
"country_code": "US",
"telephone_number": "717-988-0000",
"fax_number": "717-782-5716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAPUTKA",
"first_name": "CHRISTIAN",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-06",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA004167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103439068",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.