Individual provider Active NPI

Badar Jan, M.D.

  • Plastic Surgery Physician
  • Allentown, PA
National Provider Identifier
1245560192
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD444930 Issued in PA
Practice address
250 Cetronia Rd
Suite 301
Allentown, PA 18104-9147
Phone
(610) 437-2378
Fax
(610) 820-9983
NPI assigned
Dec 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD444930 PA Primary

Addresses

Primary practice location

250 Cetronia Rd
Suite 301
Allentown, PA 18104-9147

Mailing address

250 Cetronia Rd
Suite 301
Allentown, PA 18104-9147
Phone (610) 437-2378

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000155 PA Practitioner - Plastic and Reconstructive Surgery 3274799085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Surgery AssociatesGroup PAC ID 0547207631, 7 clinicians

Practice addresses (Care Compare)

250 Cetronia Rd
Suite 302
Allentown, PA 18104-9168
Phone (610) 437-2378

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Dec 12, 2018 Accepting new patients
Lehigh Valley Physician Group Plastic Surgery Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 12, 2018 Accepting new patients
Aesthetic Surgery Associates Plastic Surgery CurrentSince Jul 23, 2012 Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients

Locations

250 Cetronia Rd
Ste 301
Allentown, PA 18104
Phone (610) 417-5778

2100 Mack Blvd
Fl 4
Allentown, PA 18103

250 Cetronia Rd
Ste 302
Allentown, PA 18104
Phone (610) 366-7333

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

Organizations & group practices 6

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": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1245560192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD",
            "address_2": "SUITE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049147",
            "telephone_number": "610-437-2378",
            "fax_number": "610-820-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD",
            "address_2": "SUITE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049147",
            "telephone_number": "610-437-2378",
            "fax_number": "610-820-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "BADAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD444930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.