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

Justin J Fatula, PA-C

Individual provider Medical Physician Assistant · NPI 1790853828

Justin J Fatula, PA-C is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2006, 20 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
20
Licensed in
PA
In the registry since
2006
Specialties on file
3
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

501 Cetronia Rd Ste 125
Allentown, PA 18104-9569
Phone: (484) 426-2501
Fax: (484) 426-2551
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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 MA052857 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA052857 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA052857 (PA)

Record details

NPI number1790853828
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Allentown