Individual provider Active NPI

Adam L Leferovich, PA-C

  • Medical Physician Assistant
  • Macungie, PA
National Provider Identifier
1245818228
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA062187 Issued in PA
Practice address
6451 Village LN
Macungie, PA 18062-8484
Phone
(610) 967-2772
Fax
(610) 967-2599
NPI assigned
Mar 31, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA062187 PA Primary

Addresses

Primary practice location

6451 Village LN
Macungie, PA 18062-8484

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210602000505 PA Practitioner - Physician Assistant 1759780323 Reassigns benefits to 2 organizations
I20250416000175 OR Practitioner - Physician Assistant 1759780323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

10221 SE Sunnyside Rd
Clackamas, OR 97015-9782
Phone (864) 664-3984

11355 SW Scholls Ferry Rd
Beaverton, OR 97008-7167
Phone (864) 664-3984

11956 SW Garden PL
Tigard, OR 97223-8248
Phone (503) 684-8252

1400 NE Alberta St
Portland, OR 97211-5044
Phone (864) 664-3984

202 NW 13TH Ave
Portland, OR 97209-2953
Phone (864) 664-3984

606 NE Broadway St
Portland, OR 97232-1212
Phone (864) 664-3984

7855 SW Capitol Hwy
Portland, OR 97219-2465
Phone (864) 664-3984

8179 N Lombard St
Portland, OR 97203-3130
Phone (864) 664-3984

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062187PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 21, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 14, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 14, 2021 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients
Zoomcare PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

384 Airport Rd
Hazle Township, PA 18202
Phone (570) 501-1242

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

6451 Village Ln
Macungie, PA 18062
Phone (610) 967-2772

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Interoperability endpoints

  • Direct secure messaging: adam.leferovich.1@30646.direct.athenahealth.com
  • Direct secure messaging: aleferovich359122@direct2.lvhn.org
  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1245818228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 VILLAGE LN",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628484",
            "telephone_number": "610-967-2772",
            "fax_number": "610-967-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEROVICH",
        "first_name": "ADAM",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

Verify at the official NPI Registry.