Individual provider Active NPI

Lindsey Wyglendowski, PA-C

  • Physician Assistant
  • Easton, PA
National Provider Identifier
1508316969
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058550 Issued in PA
Practice address
220 Ferry Street
Easton, PA 18041
Phone
(484) 526-3060
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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 MA058550 PA Primary

Addresses

Primary practice location

220 Ferry Street
Easton, PA 18041

Mailing address

220 Ferry St
Easton, PA 18042-3674

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
I20191120000039 PA Practitioner - Physician Assistant 1254763808 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058550PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

450 Chew St
Fl 2
Allentown, PA 18102
Phone (310) 776-5105

511 E 3rd St
Ste 201
Bethlehem, PA 18015
Phone (484) 526-3060

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

220 Ferry St
Easton, PA 18042
Phone (484) 503-8160

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1508316969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FERRY ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FERRY STREET",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18041",
            "telephone_number": "484-526-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYGLENDOWSKI",
        "first_name": "LINDSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.