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PAUL A. TOMCYKOSKI DO PC
NPI 1205004207
Pediatrics in Jessup, PA

Active since February 13, 2008CLIA 39D0971622 · Waiver
1355 ROBERT MELLOW DR, JESSUP, PA 18434(570) 383-5453(570) 489-4583 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul A. Tomcykoski Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL A. TOMCYKOSKI DO PC (NPI 1205004207) is a healthcare organization registered as a pediatrics in Jessup, Pennsylvania and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Paul A Tomcykoski, Physician, as its authorized official.

NPPES Registry Identity

NPI1205004207
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePAUL A. TOMCYKOSKI DO PC
Location Address1355 ROBERT MELLOW DRJessup, PA 18434
Mailing Address1355 Robert Mellow DrJessup, PA 18434 · (570) 383-5453 · Fax (570) 489-4583
Phone(570) 383-5453
Fax(570) 489-4583
Organization SubpartNo
Authorized OfficialPaul A TomcykoskiPhysician · (570) 383-5453
Enumeration DateFebruary 13, 2008
✔ NPI 1205004207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · OS009027L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1355 ROBERT MELLOW DR, Jessup, PA 18434
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Other Identifiers 1

Medicaid0017888900002PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0971622

Paul A Tomcykoski Do · Jessup, PA
Active · expires Mar 16, 2028
CLIA Number39D0971622
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorPaul A. Tomcykoski
Laboratory Phone(570) 383-5453
Laboratory LocationPaul A Tomcykoski Do1355 Veterans Memorial Drive, Jessup, PA 18434
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul A. Tomcykoski Do PC's NPI number?

The NPI number for Paul A. Tomcykoski Do PC is 1205004207. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Paul A. Tomcykoski Do PC located?

Paul A. Tomcykoski Do PC is located at 1355 Robert Mellow Dr, Jessup, PA 18434. The listed phone number is (570) 383-5453.

What is Paul A. Tomcykoski Do PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Paul A. Tomcykoski Do PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0971622) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paul A. Tomcykoski Do PC was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.