NPIMap

Organization Active NPI

Lehigh Valley Physician Group

Doing business as Thomas J Czajkowski MD

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1447494034
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Doing business as
Thomas J Czajkowski MD
Practice address
3131 College Heights Blvd
Suite 2200
Allentown, PA 18104-4812
Phone
(610) 433-8615
Fax
(610) 433-2395
NPI assigned
Apr 27, 2009
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LEHIGH VALLEY PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Michael Callahan
Title
Associate Executive Director of Fin
Phone
(610) 798-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3131 College Heights Blvd
Suite 2200
Allentown, PA 18104-4812

Mailing address

1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Phone (610) 973-1410

Other names 1

  • Thomas J Czajkowski MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000335 PA Part B Supplier - Clinic/Group Practice 3072425123 Receives reassigned benefits from 3,502 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0943006Thomas J Czajkowski MD3131 College Heights Blvd, Ste 2200, Allentown, PA 18104Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lehigh Vly Phy GP168 organizations share this tax ID, including this one
Part of
Lehigh Vly Phy GP

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

101 S Schanck Ave
#F
Pen Argyl, PA 18072
Phone (610) 863-9059

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1447494034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD",
            "address_2": "SUITE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD",
            "address_2": "SUITE 2200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044812",
            "telephone_number": "610-433-8615",
            "fax_number": "610-433-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2009-04-27",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR OF FIN",
        "authorized_official_telephone_number": "610-798-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas J Czajkowski MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.