Active NPI
Timothy John Prestosh, D.O.
- Family Medicine Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS014052
- Practice address
- 1501 Lehigh St
Allentown, PA 18103-3880 - Phone
- (610) 628-8380
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS014052 | PA | Primary |
Addresses
Primary practice location
1501 Lehigh St
Allentown, PA 18103-3880
Mailing address
3025 Shakespeare Rd
Bethlehem, PA 18017-3219
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS014052 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First Pennsylvania Medical Group PLLC | Family Medicine | Current | Accepting new patients |
| Patient First Pennsylvania Medical Group PLLC | Family Medicine | Current | Accepting new patients |
| Premier Immediate Medical Care, LLC | Past | Accepting new patients |
Locations
5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566
713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
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.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1194039560
Family Medicine, PA
-
- Family Medicine Physician
- Fairless Hills, PA
- NPI 1144870387
-
- Urgent Care Clinic/Center
- Exton, PA
- NPI 1821040890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1295927341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 SHAKESPEARE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180173219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 LEHIGH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033880",
"telephone_number": "610-628-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTOSH",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS014052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
- Premise Health of Pennsylvania Medical PC
- Kristen Marie Haughey Prendergast, M.D.
- Benjamin Harrison Press
- Liandra Nicole Presser
- Lauren Marie Preston, PA-C
- Carmella Ann Pretti, CRNA
- Preventive Measures
- Preventive Measures Home Health Care
- Preventive Measures Home Health Care
- Preventive Measures Home Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.