Individual provider Active NPI

Adam Robert Ternosky, PA-C

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1679826036
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002938 Issued in PA
Practice address
1101 South Cedar Crest Blvd.
Allentown, PA 18103-7902
Phone
(610) 435-3111
Fax
(610) 432-5953
NPI assigned
Oct 23, 2012
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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 OA002938 PA Primary

Addresses

Primary practice location

1101 South Cedar Crest Blvd.
Allentown, PA 18103-7902

Mailing address

1253 Raymond Avenue
Bethlehem, PA 18018
Phone (610) 428-7093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20130815000537 DE Practitioner - Physician Assistant 0547402893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
91.08
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA002938PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay Orthopedics, PC CurrentSince May 3, 2015 Accepting new patients

Locations

1340 Middleford Rd
Ste 403
Seaford, DE 19973
Phone (302) 535-1073

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1679826036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 RAYMOND AVENUE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18018",
            "telephone_number": "610-428-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SOUTH CEDAR CREST BLVD.",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037902",
            "telephone_number": "610-435-3111",
            "fax_number": "610-432-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERNOSKY",
        "first_name": "ADAM",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.