NPIMap

Individual provider Active NPI

Jacob William Rockovits, PA-C

  • Medical Physician Assistant
  • Palmerton, PA
National Provider Identifier
1699287375
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059466 Issued in PA
Practice address
135 Lafayette Ave FL 2
Palmerton, PA 18071-1518
Phone
(610) 824-8350
Fax
(610) 824-8350
NPI assigned
Nov 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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 MA059466 PA Primary

Addresses

Primary practice location

135 Lafayette Ave FL 2
Palmerton, PA 18071-1518

Mailing address

135 Lafayette Ave FL 2
Palmerton, PA 18071-1518
Phone (610) 824-8350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131000309 PA Practitioner - Physician Assistant 0941560593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059466PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2020 Accepting new patients
Lehighton Pediatrics PLLC PastSince Aug 7, 2022 Accepting new patients
Dr. Majeed'S Health PLLC PastSince Jan 31, 2021 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2649 Schoenersville Rd
Ste 201
Bethlehem, PA 18017
Phone (610) 868-6833

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23148/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 7

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1699287375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LAFAYETTE AVE FL 2",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711518",
            "telephone_number": "610-824-8350",
            "fax_number": "610-824-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LAFAYETTE AVE FL 2",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711518",
            "telephone_number": "610-824-8350",
            "fax_number": "610-824-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKOVITS",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.