Individual provider Active NPI

Christian J Laputka, PA

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1174041537
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA004167 Issued in PA
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

Updated by the provider on Nov 16, 2020

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 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

IdentifierTypeStateIssuer
103439068MedicaidPA

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
I20171012003333 PA Practitioner - Physician Assistant 3274808571 Reassigns benefits to 2 organizations

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
Pinnacle Health Emergency Department Services, LLCGroup PAC ID 0143124701, 106 clinicians

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

LicenseStateTypeSpecialty
OA004167PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 25, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 25, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.