NPIMap

Individual provider Active NPI

Timothy A Smolenyak, P.A.-C

  • Physician Assistant
  • Whitehall, PA
National Provider Identifier
1396711537
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051223 Issued in PA
Practice address
3691 Crescent CT E
Ste 201
Whitehall, PA 18052-3433
Phone
(610) 434-9561
Fax
(610) 434-5122
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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 MA051223 PA Primary

Addresses

Primary practice location

3691 Crescent CT E
Ste 201
Whitehall, PA 18052-3433

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

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
I20061106000482 PA Practitioner - Physician Assistant 9739184896 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jul 1, 2013 Accepting new patients
St. Luke'S Hosptial CurrentSince Mar 1, 2014 Accepting new patients
Carbon - Schuylkill Community Hospital Inc CurrentSince Jul 1, 2013 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 1, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 1, 2015 Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Oct 1, 2008 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Mar 1, 2014 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Nov 17, 2014 Accepting new patients
St Luke'S Hospital CurrentSince Oct 1, 2008 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 1, 2008 Accepting new patients
St. Luke'S Hospital CurrentSince Oct 1, 2008 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

1259 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 402-9400

2649 Schoenersville Rd
Ste 301
Bethlehem, PA 18017
Phone (484) 884-4799

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

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

3691 Crescent Ct E
Ste 201
Whitehall, PA 18052
Phone (610) 434-9561

2741 MacArthur Rd
Whitehall, PA 18052
Phone (610) 403-6000

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: tsmolenyak44020@direct2.lvhn.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1396711537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 CRESCENT CT E",
            "address_2": "STE 201",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523433",
            "telephone_number": "610-434-9561",
            "fax_number": "610-434-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLENYAK",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.