Individual provider Active NPI

Alexander Capellan Moronta, DO

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1033904305
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT024111 Issued in PA
Practice address
2830 Easton Ave
Bethlehem, PA 18017-4204
Phone
(484) 526-3555
Fax
(833) 822-5230
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT024111 PA Primary

Addresses

Primary practice location

2830 Easton Ave
Bethlehem, PA 18017-4204

Mailing address

377 Park Ave FL 1
Perth Amboy, NJ 08861-3419
Phone (929) 374-5262

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512000783 PA Order and Referring Only - Family PracticePractitioner - Family Practice 0345767539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1033904305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 PARK AVE FL 1",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613419",
            "telephone_number": "929-374-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174204",
            "telephone_number": "484-526-3555",
            "fax_number": "833-822-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELLAN MORONTA",
        "first_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT024111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.