NPIMap

Organization Active NPI

Concertocare Medical Group of Pennsylvania, PC

  • Internal Medicine Physician
  • Camp Hill, PA
National Provider Identifier
1235969171
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONCERTOCARE MEDICAL GROUP OF PENNSYLVANIA, PC
Practice address
3425 Simpson Ferry Rd Ste 100
Camp Hill, PA 17011-6405
Phone
(717) 256-2425
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Jacob Wasag, MDNPI 1134780026
Title
Market Medical Director
Phone
(980) 220-2283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3425 Simpson Ferry Rd Ste 100
Camp Hill, PA 17011-6405

Mailing address

PO Box 801280
Kansas City, MO 64180-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224003576 PA Part B Supplier - Clinic/Group Practice 6002336815 Receives reassigned benefits from 15 practitioners
Practice locations: Camp Hill, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2328105Concertocare Med Group of PA, PC3425 Simpson Ferry, Ste 100, Camp Hill, PA 17011Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1235969171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801280",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 SIMPSON FERRY RD STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170116405",
            "telephone_number": "717-256-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTOCARE MEDICAL GROUP OF PENNSYLVANIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "WASAG",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MARKET MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "980-220-2283",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.