LECOM INSTITUTE FOR SUCCESSFUL LIVING
NPI 1730795931
Internal Medicine - Geriatric Medicine in Erie, PA

NPI Status: Active since September 22, 2020

Contact Information

5401 PEACH ST STE 3400
ERIE, PA
ZIP 16509
Phone: (814) 868-2200
Fax: (814) 868-2138

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  • Organization
  • Internal Medicine
  • Geriatric Medicine
  • Accepts Insurance
  • CLIA Number: 39D2311391
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-19-2026

About LECOM INSTITUTE FOR SUCCESSFUL LIVING

This page provides the complete NPI Profile along with additional information for Lecom Institute For Successful Living, an internist established in Erie, Pennsylvania operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1730795931 assigned on September 2020. The practitioner's primary taxonomy code is 207RG0300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Lecom Institute For Successful Living operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lecom Institute For Successful Living. The authorized official of this NPI record is Jean Nejman (Credentialing Specialist)

NPI
1730795931
Provider Legal Name
MEDICAL ASSOCIATES OF ERIE
Other Organization Name
LECOM INSTITUTE FOR SUCCESSFUL LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5401 PEACH ST STE 3400 ERIE, PA 16509
Location Phone
(814) 868-2200
Location Fax
(814) 868-2138
Mailing Address
1 LECOM PL ERIE, PA 16505
Mailing Phone
(814) 868-2507
Mailing Fax
(814) 868-2138
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-22-2020
Last Update Date
12-05-2023
Code Navigator

An internist like Lecom Institute For Successful Living is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 
2213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEAN NEJMAN

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(814) 868-2507

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2311391
Facility Type
Physician Office
Certificate Effective Date
September 20, 2024
Certificate Expiration Date
September 19, 2026
Laboratory Director
DR. JORDAN R. VROMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lecom Institute For Successful Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730795931, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 1 + 4 + 9 + 1 + 0 + 9 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1730795931.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Family Medicine (Sports Medicine)
5401 PEACH ST STE 3400
ERIE, PA 16509
Internal Medicine (Geriatric Medicine)
5401 PEACH ST STE 3400
ERIE, PA 16509
Internal Medicine
5401 PEACH ST STE 3400
ERIE, PA 16509
Internal Medicine (Geriatric Medicine)
5401 PEACH ST STE 3400
ERIE, PA 16509
Surgery (Vascular Surgery)
5401 PEACH ST STE 3400
ERIE, PA 16509
Nurse Practitioner (Family)
5401 PEACH ST STE 3400
ERIE, PA 16509
Nurse Practitioner (Family)
5401 PEACH ST STE 3400
ERIE, PA 16509
Durable Medical Equipment & Medical Supplies
5401 PEACH ST STE 3400
ERIE, PA 16509
Podiatrist (Foot & Ankle Surgery)
5401 PEACH ST STE 3400
ERIE, PA 16509
Internal Medicine
5401 PEACH ST STE 3400
ERIE, PA 16509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730795931, enumerated as an "organization" on September 22, 2020.

The provider is located at 5401 PEACH ST STE 3400 ERIE, PA 16509 and the phone number is (814) 868-2200.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.