NPIMap

Individual provider Active NPI

Marta Molak

  • Medical Physician Assistant
  • Montgomeryville, PA
National Provider Identifier
1700284643
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057362 Issued in PA
Practice address
713 Bethlehem Pike
Montgomeryville, PA 18936-9602
Phone
(267) 695-3944
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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 MA057362 PA Primary

Addresses

Primary practice location

713 Bethlehem Pike
Montgomeryville, PA 18936-9602

Mailing address

1155 York Rd Apt D4
Warminster, PA 18974-2023
Phone (610) 428-8823

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
I20150218000359 PA Practitioner - Physician Assistant 4385969278 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Dec 18, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2023 Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Dec 18, 2017 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

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

3369 Route 100
Macungie, PA 18062
Phone (484) 232-6863

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

Organizations & group practices 9

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1700284643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 YORK RD APT D4",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742023",
            "telephone_number": "610-428-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BETHLEHEM PIKE",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369602",
            "telephone_number": "267-695-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLAK",
        "first_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

Verify at the official NPI Registry.