Individual provider Active NPI

Peter T. Yaswinski Jr., M.D.

  • Gynecology Physician
  • East Stroudsburg, PA
National Provider Identifier
1780681601
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD028986E Issued in PA
Practice address
369 E Brown St
East Stroudsburg, PA 18301-9101
Phone
(570) 421-6040
Fax
(570) 421-5290
NPI assigned
Jul 7, 2005
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD028986E PA Primary

Addresses

Primary practice location

369 E Brown St
East Stroudsburg, PA 18301-9101

Mailing address

179 Independence Rd
East Stroudsburg, PA 18301-9207
Phone (570) 426-2700

Other identifiers 3

IdentifierTypeStateIssuer
065640OtherPABLUE SHIELD
0009562840002MedicaidPA
0009562840004MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000243 PA Practitioner - Obstetrics/Gynecology 1254312689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Pennsylvania, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1611 Pond Rd
Suite 300
Allentown, PA 18104-2258
Phone (610) 398-9770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
74.47
Promoting interoperability
86
Improvement activities
40
Cost
74.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD028986EPAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Family Care Centers Inc CurrentSince Dec 30, 2014 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Family Care Centers Inc. CurrentSince Dec 30, 2014 Accepting new patients
Pocono Ambulatory Surgery Center LTD Past Accepting new patients

Locations

1611 Pond Rd
Ste 300
Allentown, PA 18104
Phone (610) 398-7700

175 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3401

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

369 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-6040

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

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

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

320 W Pumping Station Rd
Ste 2
Quakertown, PA 18951
Phone (215) 529-4210

Interoperability endpoints

  • Direct secure messaging: pyaswinski116315@direct2.lvhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1780681601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019207",
            "telephone_number": "570-426-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019101",
            "telephone_number": "570-421-6040",
            "fax_number": "570-421-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASWINSKI",
        "first_name": "PETER",
        "middle_name": "T.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD028986E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "065640",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009562840002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009562840004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.