Active NPI
Kristina L Potsko, PA-C
- Physician Assistant
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA056039
- Practice address
- 1250 S Cedar Crest Blvd
Suite 310
Allentown, PA 18103-6224 - Phone
- (610) 402-6890
- Fax
- (610) 402-6892
- NPI assigned
- Nov 27, 2007
- Last updated
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 002029 | CT | |
| Physician Assistant | 363A00000X | MA056039 | PA | Primary |
Addresses
Primary practice location
1250 S Cedar Crest Blvd
Suite 310
Allentown, PA 18103-6224
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 Old York Rd
Phila, PA 19141-3018
5501 Old York Rd Levy 2
Einstein Pediatrics Associates
Philadelphia, PA 19141-3018
Phone (215) 456-6786
5501 Old York Rd WCB 4TH FLR
Einstein CT Surgery Assoc
Philadelphia, PA 19141-3018
Phone (215) 456-8270
559 W Germantown Pike
East Norriton, PA 19403-4250
609 W Germantown Pike
East Norriton, PA 19403-4250
Einstein Surgical Assocs
700 West Germantown Pike
East Norriton, PA 19403-4250
Phone (484) 622-7800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2029 | CT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Einstein Practice Plan, Inc. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Hartford Clinical Associates, P.C. | Physician Assistant | Past | Accepting new patients |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
1210 S Cedar Crest Blvd
Ste 3300
Allentown, PA 18103
Phone (610) 402-8506
1250 S Cedar Crest Blvd
Ste 310
Allentown, PA 18103
Phone (610) 402-6890
100 N Academy Ave
Danville, PA 17822
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
dba Einstein Pain Institute
- Pain Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1205246576
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Addiction (Substance Use Disorder) Psychologist
- Scranton, PA
- NPI 1639600075
-
dba LVPG Geriatric Medicine
- Geriatric Medicine (Internal Medicine) Physician
- Allentown, PA
- NPI 1164579140
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
dba Northern Vascular Lab
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
-
dba Hartford Specialists
- Transplant Surgery Physician
- Hartford, CT
- NPI 1134282460
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1619159175",
"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": "1250 S CEDAR CREST BLVD",
"address_2": "SUITE 310",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036224",
"telephone_number": "610-402-6890",
"fax_number": "610-402-6892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTSKO",
"first_name": "KRISTINA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "002029",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA056039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.