NPIMap

Organization Active NPI

Neighborhood Health Centers of the Lehigh Valley

Doing business as NHCLVAt Broad Street

  • Federally Qualified Health Center (FQHC)
  • Bethlehem, PA
National Provider Identifier
1053946079
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY
Doing business as
NHCLVAt Broad Street
Practice address
635 E Broad St
Bethlehem, PA 18018-6332
Phone
(610) 820-7605
Fax
(610) 820-7606
NPI assigned
Mar 10, 2020
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Paula Haddad
Title
Billing
Phone
(610) 820-7605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

635 E Broad St
Bethlehem, PA 18018-6332

Mailing address

635 E Broad St
Bethlehem, PA 18018-6332
Phone (610) 820-7605

Other names 1

  • NHCLVAt Broad Street Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL phaddad@nhclv.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100526000092 PA Part B Supplier - Clinic/Group Practice 2961537352 Receives reassigned benefits from 54 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Easton, PA; Bethlehem, PA; Allentown, PA
O20210928002500 PA Part A Provider - Federally Qualified Health Center (FQHC) 2961537352 Practice locations: Bethlehem, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053946079. Details of each certification follow.

Federally qualified health center certification: CCN 731900

Legal name
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY
Doing business as
NHCLV AT BROAD STREET
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 22, 2021
Last certification
Sep 22, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 2004 in PA
Enrollment address
635 E Broad St
Bethlehem, PA 18018-6332

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nhclv at Broad Street7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 Hamilton St
Allentown, PA 18101
Phone (610) 477-0105

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Neighborhood Health Centers of the Lehigh Valley Organization, Bethlehem, PA Corporation, Non-profit Operational/Managerial Control Nov 19, 2004
Henery Aiken Individual Corporate OfficerVice President Jul 1, 2019
Daniel Bosket Individual Corporate OfficerTreasure Jul 1, 2019
James Teufel Individual Corporate OfficerPresident Jul 1, 2019
Stephanie Williams Individual Corporate OfficerSecretary Jul 1, 2019
Melissa M Miranda Individual Corporate DirectorCeo Jun 24, 2015
W-2 Managing EmployeeCeo Feb 2, 2015

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neighborhood Health Centers of the Lehigh Valley - Hamilton StreetAllentown, PA, CCN 731057 Federally qualified health center Operational/Managerial Control Nov 19, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1053946079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-820-7605",
            "fax_number": "610-820-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-820-7605",
            "fax_number": "610-820-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "610-820-7605"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "phaddad@nhclv.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "610-820-7605",
            "address_1": "635 E Broad St",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180186332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NHCLVAt Broad Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.