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

Jeremy D Witcoski, PA

Individual provider Physician Assistant · NPI 1407845845

Jeremy D Witcoski, PA is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2004, 22 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Florida, New Jersey and Pennsylvania.

Years since qualifying
22
Licensed in
FL, NJ, PA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

501 Cetronia Rd Ste 125
Allentown, PA 18104-9569
Phone: (484) 526-1735
Fax: (866) 230-6583
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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 MA056681 (PA)
Physician Assistant Taxonomy 363A00000X · Licence PA9103071 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00486300 (NJ)

Record details

NPI number1407845845
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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