Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Tyler Stancato

Individual provider Medical Physician Assistant · NPI 1770245367

Jacob Tyler Stancato is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone: (610) 402-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 — (610) 402-8000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA063010 (PA)

Record details

NPI number1770245367
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address2100 Mack Blvd Fl 4, Allentown, PA 18103-5622

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Allentown