Individual provider Active NPI

Lev Skorodinsky, PA

  • Physician Assistant
  • Langhorne, PA
National Provider Identifier
1265498620
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051189 Issued in PA
Practice address
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone
(215) 710-5900
Fax
(215) 710-6973
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 MA051189 PA Primary

Addresses

Primary practice location

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

Mailing address

41 University Dr Ste 300
Newtown, PA 18940-1873
Phone (215) 710-6274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20040506000146 PA Practitioner - Physician Assistant 7012905045 Reassigns benefits to 4 organizations
I20260102002417 NJ Practitioner - Physician Assistant 7012905045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Hahnemann University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Wound Care LLCGroup PAC ID 4688905920, 12 clinicians

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

163 Madison Ave
Suite 220
Morristown, NJ 07960-7325
Phone (908) 400-8405

4227 Manor Dr
Stroudsburg, PA 18360-9451
Phone (973) 454-8841

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Dec 17, 2012 Accepting new patients
Lancaster General Hospital CurrentSince Dec 17, 2012 Accepting new patients
Heritage Wound Care LLC CurrentSince Dec 1, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 6, 2010 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 6, 2010 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Nov 1, 2009 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

325 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (973) 783-2800

163 Madison Ave
Ste 220
Morristown, NJ 07960
Phone (908) 255-6200

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

397 Hemlock Dr
Lehighton, PA 18235
Phone (570) 386-5522

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

4227 Manor Dr
Stroudsburg, PA 18360
Phone (570) 922-4172

Organizations & group practices 10

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 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1265498620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNIVERSITY DR STE 300",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401873",
            "telephone_number": "215-710-6274",
            "fax_number": "215-710-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471201",
            "telephone_number": "215-710-5900",
            "fax_number": "215-710-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKORODINSKY",
        "first_name": "LEV",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.