Individual provider Active NPI

Julia Maruscak, PAC

  • Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1881411064
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066013 Issued in PA
Practice address
1417 8TH Ave
Bethlehem, PA 18018-2256
Phone
(484) 526-5210
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 MA066013 PA Primary

Addresses

Primary practice location

1417 8TH Ave
Bethlehem, PA 18018-2256

Mailing address

1417 8TH Ave
Bethlehem, PA 18018-2256

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
I20241009000406 PA Practitioner - Physician Assistant 4688105091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

211 N 12 St
Lehighton, PA 18235-1138

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Nov 25, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Nov 25, 2024 Accepting new patients
Gslpg Inc Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

240 Cetronia Rd
Ste 210A
Allentown, PA 18104
Phone (484) 426-2626

6651 Silver Crest Rd
Bath, PA 18014
Phone (484) 526-7355

5445 Lanark Rd
Ste 202
Center Valley, PA 18034
Phone (484) 526-5740

700 Horizon Dr
Ste 201
Chalfont, PA 18914
Phone (215) 453-2510

3 Parkinsons Rd
East Stroudsburg, PA 18301
Phone (570) 424-1102

1700 St Lukes Blvd
Ste 300
Easton, PA 18045
Phone (610) 838-7638

2403 Butler St
Easton, PA 18042
Phone (484) 822-5405

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

525 Iron St
Lehighton, PA 18235
Phone (610) 377-4148

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

2550 Route 100
Ste 230
Macungie, PA 18062

2550 Route 100
Ste 200
Macungie, PA 18062
Phone (484) 822-5104

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

614B Delaware Ave
Bldg B
Palmerton, PA 18071

1534 Park Ave
Quakertown, PA 18951
Phone (267) 424-8750

120 Pine St
Ste 106
Tamaqua, PA 18252

Interoperability endpoints

  • Direct secure messaging: jmaruscak305823@direct-sluhn.org

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 8

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1881411064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSCAK",
        "first_name": "JULIA",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.