Individual provider Active NPI

Laavanya Pasupuleti, DO

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1093960544
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TO12549 Issued in PA
Practice address
1501 Lehigh St
Suite 103
Allentown, PA 18103-3880
Phone
(610) 628-8380
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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 TO12549 PA Primary

Addresses

Primary practice location

1501 Lehigh St
Suite 103
Allentown, PA 18103-3880

Mailing address

76 Rustic Way
Freehold, NJ 07728-9011
Phone (732) 303-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TO12549PAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1093960544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 RUSTIC WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077289011",
            "telephone_number": "732-303-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LEHIGH ST",
            "address_2": "SUITE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033880",
            "telephone_number": "610-628-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASUPULETI",
        "first_name": "LAAVANYA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "TO12549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.