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

Tyler James Trobetsky

Individual provider Medical Physician Assistant · NPI 1356082598

Tyler James Trobetsky is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2022, 4 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
4
Licensed in
PA
In the registry since
2022

Practice location Address checks out

1621 N Cedar Crest Blvd
Allentown, PA 18104-2304
Phone: (610) 402-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4170 City Ave, Philadelphia, PA 19131-1610 — (215) 871-6100

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA063854 (PA)

Record details

NPI number1356082598
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address2100 Mack Blvd, Allentown, PA 18103-5622

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

Other providers in Allentown