Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex James Pennachio, PA-C

Individual provider Physician Assistant · NPI 1689220782

Alex James Pennachio, PA-C is a Physician Assistant in East Stroudsburg, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

505 Independence Rd Ste 2C
East Stroudsburg, PA 18301-7916
Phone: (570) 395-2500
Fax: (570) 395-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060743 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA004890 (PA)

Record details

NPI number1689220782
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in East Stroudsburg