Individual provider Active NPI

Jeremy D Witcoski, PA

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1407845845
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056681 Issued in PA
Practice address
501 Cetronia Rd Ste 125
Allentown, PA 18104-9569
Phone
(484) 526-1735
Fax
(866) 230-6583
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056681 PA Primary
Physician Assistant 363A00000X PA9103071 FL
Physician Assistant 363A00000X 25MP00486300 NJ

Addresses

Primary practice location

501 Cetronia Rd Ste 125
Allentown, PA 18104-9569

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-1735

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
I20140617000253 PA Practitioner - Physician Assistant 3971561788 Reassigns benefits to 2 organizations
I20181218003312 NJ Practitioner - Physician Assistant 3971561788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1441 Schoenersville Rd
Bethlehem, PA 18018-1864
Phone (484) 526-3884

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

501 Cetronia Rd
Allentown, PA 18104-9569

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 526-8142

701 Ostrum St
Fountain Hill, PA 18015-1153

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056681PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group Inc CurrentSince May 22, 2017 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Oct 20, 2018 Accepting new patients
St Luke'S Physician Group Inc CurrentSince May 22, 2017 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Oct 20, 2018 Accepting new patients
Francisco J. Borja, M.D., P.a. Physician Assistant Past Accepting new patients
Orthopaedic Associates of Allentown Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

501 Cetronia Rd
Ste 125
Allentown, PA 18104
Phone (484) 426-2055

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

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

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1534 Park Ave
Ste 210
Quakertown, PA 18951
Phone (267) 424-8850

Interoperability endpoints

  • Direct secure messaging: jeremy.witcoski@slpg.direct-sluhn.org

Organizations & group practices 9

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 6

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1407845845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-1735",
            "fax_number": "866-230-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD STE 125",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-526-1735",
            "fax_number": "866-230-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITCOSKI",
        "first_name": "JEREMY",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056681",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103071",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00486300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.