NPIMap

Individual provider Active NPI

Gina E McKendry, PA-C

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1194981290
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053491 Issued in PA
Practice address
410 N Krocks Rd
Allentown, PA 18106-9283
Phone
(888) 982-8594
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0A002355 PA
Physician Assistant 363A00000X MA053491 PA Primary

Addresses

Primary practice location

410 N Krocks Rd
Allentown, PA 18106-9283

Mailing address

PO Box 159
Barrington, NJ 08007-0159
Phone (888) 982-8594

Other practice location 1

100 W Oxford St Ste W-1200
Philadelphia, PA 19122-3927
Phone (267) 800-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, DE3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081031000480 PA Practitioner - Physician Assistant 3375602618 Reassigns benefits to 1 organization
I20231017000973 NJ Practitioner - Physician Assistant 3375602618 Reassigns benefits to 1 organization
I20231017001094 DE Practitioner - Physician Assistant 3375602618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Telehealth LLCGroup PAC ID 6608156906, 43 clinicians

Practice addresses (Care Compare)

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (888) 982-8594

217 Black Horse Pike
Haddon Heights, NJ 08035-1009
Phone (888) 982-8594

410 N Krocks Rd
Allentown, PA 18106-9283
Phone (888) 982-8594

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0A002355PAMDPhysician Assistant
MA053491PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lyceum Chiropractic, P.C. Past Accepting new patients
BPS Medical of New Jersey, LLC Past Accepting new patients

Organizations & group practices 3

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 9

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1194981290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080070159",
            "telephone_number": "888-982-8594",
            "fax_number": "888-920-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N KROCKS RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069283",
            "telephone_number": "888-982-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Oxford St Ste W-1200",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191223927",
            "country_code": "US",
            "telephone_number": "267-800-1009",
            "fax_number": "267-800-1869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENDRY",
        "first_name": "GINA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "0A002355",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.