Individual provider Active NPI

Carolyn Gaffney, PA-C

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1063554988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052089 Issued in PA
Practice address
17TH St. and Chew St.
Allentown, PA 18105
Phone
(610) 969-2865
Fax
(610) 969-2786
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052089 PA Primary

Addresses

Primary practice location

17TH St. and Chew St.
Allentown, PA 18105

Mailing address

3 Heather CT Apt C
Lansdale, PA 19446-1293

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110909002431 PA Practitioner - Physician Assistant 5193995751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

211 N 12 St
Lehighton, PA 18235-1138

512 Bank St
St Lukes Psychiatric Associates
Bowmanstown, PA 18030-0010
Phone (484) 526-2400

801 Ostrm St
Bethlehem, PA 18015-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
661WVMDClinical Psychologist
MA052089PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 8, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 8, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 15, 2020 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 15, 2020 Accepting new patients
Three Rivers Medical Clinics Inc Past Accepting new patients

Locations

1107 Eaton Ave
Bethlehem, PA 18018
Phone (610) 954-3012

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: carolyn.gaffney@slpg.direct-sluhn.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063554988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HEATHER CT APT C",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17TH ST. AND CHEW ST.",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18105",
            "telephone_number": "610-969-2865",
            "fax_number": "610-969-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "CAROLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.