Individual provider Active NPI

Jocelyn Elizabeth Masotti, PA-C

  • Medical Physician Assistant
  • Hazleton, PA
National Provider Identifier
1639523046
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058190 Issued in PA
Practice address
564 W Broad St
Hazleton, PA 18201-6108
Phone
(570) 501-6400
Fax
(570) 453-2353
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058190 PA Primary

Addresses

Primary practice location

564 W Broad St
Hazleton, PA 18201-6108

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other identifiers 1

IdentifierTypeStateIssuer
103277110-0001MedicaidPA

Other names 1

  • Miss Jocelyn Elizabeth Novak Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831003029 PA Practitioner - Physician Assistant 1153617055 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2022 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (610) 395-4300

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3800 Sierra Cir
Ste 100
Center Valley, PA 18034
Phone (484) 664-2090

2401 Northampton St
Ste 210
Easton, PA 18045
Phone (484) 591-7470

1431 Nursery St
Ste 102
Fogelsville, PA 18051
Phone (610) 395-4444

564 W Broad St
Hazleton, PA 18201
Phone (570) 501-6220

237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000

320 W Pumping Station Rd
Ste 4
Quakertown, PA 18951
Phone (215) 529-4270

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 5

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1639523046",
    "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",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016108",
            "telephone_number": "570-501-6400",
            "fax_number": "570-453-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOTTI",
        "first_name": "JOCELYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103277110-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "NOVAK",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.