Individual provider Active NPI

Allison Burdulis, CNM

  • Advanced Practice Midwife
  • Doylestown, PA
National Provider Identifier
1104186881
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010291 Issued in PA
Practice address
54 E Oakland Ave
Doylestown, PA 18901-4651
Phone
(215) 348-4002
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00050500 NJ
Advanced Practice Midwife 367A00000X MW010291 PA Primary

Addresses

Primary practice location

54 E Oakland Ave
Doylestown, PA 18901-4651

Mailing address

54 E Oakland Ave
Doylestown, PA 18901-4651
Phone (215) 348-4002

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404000169 PA Practitioner - Certified Nurse Midwife (CNM) 6800172917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00050500NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 11, 2017 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

2100 Mack Blvd
Fl 2
Allentown, PA 18103

1611 Pond Rd
Ste 300
Allentown, PA 18104
Phone (610) 398-7700

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

320 W Pumping Station Rd
Ste 2
Quakertown, PA 18951
Phone (215) 529-4210

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1104186881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E OAKLAND AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014651",
            "telephone_number": "215-348-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E OAKLAND AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014651",
            "telephone_number": "215-348-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDULIS",
        "first_name": "ALLISON",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00050500",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.