NPIMap

Individual provider Active NPI

Jerzy K Magda, MD

  • Internal Medicine Physician
  • New Castle, PA
National Provider Identifier
1366433823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD049115L Issued in PA
Practice address
125 Enclave Dr
New Castle, PA 16105-3207
Phone
(724) 658-6656
Fax
(724) 658-6542
NPI assigned
Nov 3, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD049115L PA Primary

Addresses

Primary practice location

125 Enclave Dr
New Castle, PA 16105-3207

Mailing address

125 Enclave Dr
New Castle, PA 16105-3207
Phone (724) 658-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000115 PA Practitioner - Internal Medicine 4880587948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Associates of Lawrence County, P.C.Group PAC ID 2961396106, 2 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

125 Enclave Dr
New Castle, PA 16105-3207
Phone (724) 658-6656

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Lawrence County, P.C. Internal Medicine CurrentSince Jun 1, 2001 Accepting new patients
Jamc Opco LLC Past Accepting new patients
Ava Opco LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Quality Life Services - New Castle, LLC Past Accepting new patients
Haven Convalescent Home, Inc. Past Accepting new patients

Locations

125 Enclave Dr
New Castle, PA 16105
Phone (724) 658-6656

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avalon Care CenterNew Castle, PA, CCN 396075 Skilled nursing facility Contracted Managing Employee (100%) May 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366433823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053207",
            "telephone_number": "724-658-6656",
            "fax_number": "724-658-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053207",
            "telephone_number": "724-658-6656",
            "fax_number": "724-658-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDA",
        "first_name": "JERZY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD049115L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.