Individual provider Active NPI

Jason M. Zicherman, M.D.

  • Diagnostic Radiology Physician
  • Allentown, PA
National Provider Identifier
1609934694
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD433882 Issued in PA
Practice address
1255 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6256
Phone
(610) 770-1606
Fax
(610) 740-0560
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 25MA07491700 NJ
Diagnostic Radiology Physician 2085R0202X 0101241068 VA
Diagnostic Radiology Physician 2085R0202X 25MA07491700 NJ
Diagnostic Radiology Physician 2085R0202X MD433882 PA Primary

Addresses

Primary practice location

1255 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6256

Mailing address

1255 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6256
Phone (610) 770-1606

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8080

Other identifiers 5

IdentifierTypeStateIssuer
3995 0099OtherCAREFIRST
P00425143OtherDCMEDICARE PIN
1010988900003MedicaidPA
P00429961OtherVAMEDICARE PIN
3810008997MedicaidWV

Other names 1

  • Jason M Zicherman Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000288 PA Practitioner - Diagnostic Radiology 4183728835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606

1220 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 740-9500

1230 S Cedar Crest Blvd
Allentown, PA 18103-6366

1247 S Cedar Crest Blvd
Suite 102
Allentown, PA 18103-6296
Phone (610) 402-1022

1250 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-6224
Phone (610) 435-1600

1770 Bathgate Rd
Bethlehem, PA 18017-7334
Phone (601) 317-8083

1770 Bathgate Rd
Suite 100
Bethlehem, PA 18017-7318
Phone (484) 884-1032

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-2271

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-5018

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

Merit-based Incentive Payment System (MIPS)

Final score
76.81 of 100Reported as group
Quality
75.84
Improvement activities
40
Cost
66.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07491700NJMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology Past Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology PastSince May 7, 2025 Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients

Locations (25 of 39)

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690

1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600

6649 Chrisphalt Dr
Bath, PA 18014
Phone (610) 837-3181

1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460

1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032

2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300

1770 Bathgate Rd
Bethlehem, PA 18017
Phone (610) 317-8083

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

400 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

2401 Northampton St
Easton, PA 18045
Phone (484) 591-7555

3701 Corriere Rd
Easton, PA 18045
Phone (484) 591-7000

14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800

1431 Nursery St
Fogelsville, PA 18051
Phone (484) 273-4343

1109 Grosser Rd
Gilbertsville, PA 19525
Phone (484) 498-6060

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

Organizations & group practices 8

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 11

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1609934694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD",
            "address_2": "SUITE 3600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036256",
            "telephone_number": "610-770-1606",
            "fax_number": "610-740-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD",
            "address_2": "SUITE 3600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036256",
            "telephone_number": "610-770-1606",
            "fax_number": "610-740-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZICHERMAN",
        "first_name": "JASON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NJ",
            "license": "25MA07491700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101241068",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07491700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD433882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "3995 0099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "P00425143",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010988900003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "P00429961",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008997",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "ZICHERMAN",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.