Active NPI
John E Connelly, DO
- Family Medicine Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS007130L
- Practice address
- 501 N 17TH St
Suite # 108
Allentown, PA 18104-5044 - Phone
- (610) 434-4760
- Fax
- (610) 820-9122
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS007130L | PA | Primary |
Addresses
Primary practice location
501 N 17TH St
Suite # 108
Allentown, PA 18104-5044
Mailing address
501 N 17TH St
Suite #108
Allentown, PA 18104-5044
Phone (610) 954-6048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012679810004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050425000980 | PA | Practitioner - Family Practice | 6608815105 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| St. Luke'S Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| St. Luke'S Physician Group, Inc. | Family Medicine | Current | Accepting new patients |
| St Luke'S Physician Group Inc | Family Medicine | Current | Accepting new patients |
Locations
3050 Hamilton Blvd
Allentown, PA 18103
Phone (484) 223-3300
3050 Hamilton Blvd
Ste 100
Allentown, PA 18103
Phone (484) 526-6048
501 N 17th St
Ste 108
Allentown, PA 18104
Phone (610) 434-4760
2200 Hamilton St
Ste 200
Allentown, PA 18104
Phone (610) 434-4760
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1013982867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N 17TH ST",
"address_2": "SUITE #108",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045044",
"telephone_number": "610-954-6048",
"fax_number": "610-954-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 17TH ST",
"address_2": "SUITE # 108",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045044",
"telephone_number": "610-434-4760",
"fax_number": "610-820-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "JOHN",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS007130L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012679810004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
- Concern-Professional Services for Children, Youth & Families
- Vincent Confalone, LPC, NCC
- Connected Family Services LLC
- Connected Family Services LLC
- Connective Tissue Gene Tests, LLC
- Karen Conner, RD
- Patti S. Connolly, PHYSICIAN ASSISTANT
- Danielle Nicole Connor, DPT
- Amanda Connors, MGC, CGC
- Lucy Conrey, MS, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.