Individual provider Active NPI

Joseph Charles Bozzo, PA

  • Medical Physician Assistant
  • Allentown, PA
National Provider Identifier
1295966935
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA054052 Issued in PA
Practice address
2200 Hamilton St Ste 308
Allentown, PA 18104-6359
Phone
(610) 481-9600
NPI assigned
Jul 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 MA054052 PA Primary

Addresses

Primary practice location

2200 Hamilton St Ste 308
Allentown, PA 18104-6359

Mailing address

2200 Hamilton St Ste 317
Allentown, PA 18104-6359
Phone (610) 481-9600

Other practice location 1

649 N Lewis Rd Ste 220
Limerick, PA 19468-1234
Phone (610) 481-9600

Other identifiers 1

IdentifierTypeStateIssuer
1032586800001MedicaidPA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000117 PA Practitioner - Physician Assistant 5799822607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

206 S 6TH Ave
West Reading, PA 19611-1411
Phone (484) 628-5437

420 S 5TH Ave
West Reading, PA 19611-2143

420 S 5TH Ave BLDG N
West Reading, PA 19611-2143

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

Merit-based Incentive Payment System (MIPS)

Final score
88.1 of 100Reported as group
Quality
77.19
Promoting interoperability
98
Improvement activities
40
Cost
79.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Jan 10, 2022 Accepting new patients
Reading Hospital CurrentSince Jul 5, 2022 Accepting new patients
Reading Hospital CurrentSince Jul 5, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Jan 10, 2022 Accepting new patients
Healing Path Psychology PastSince Dec 9, 2019 Accepting new patients

Locations

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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 8

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1295966935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HAMILTON ST STE 317",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046359",
            "telephone_number": "610-481-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HAMILTON ST STE 308",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046359",
            "telephone_number": "610-481-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 N Lewis Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "194681234",
            "country_code": "US",
            "telephone_number": "610-481-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZZO",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032586800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.