Lehigh Valley Physician Group
Organization Active NPI Surgery Physician · Allentown, PA
NPI 1104195684 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1104195684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- LEHIGH VALLEY PHYSICIAN GROUP
- Practice address
- 1240 S Cedar Crest Blvd
Suite 208
Allentown, PA 18103-6369 - Phone
- (610) 402-9780
- NPI assigned
- Dec 29, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- LEHIGH VALLEY PHYSICIAN GROUP
Authorized official
- Name
- John Berzinsky
- Title
- VP, Cfo
- Phone
- (484) 884-4500
Corporate family (same tax ID) 24
Practitioners 18
-
Lori A Alfonse, D.O.
-
Paul J. Evans, CRNA
-
Danielle Ferraguti, D.O.
-
Desere Hazzard, LCSW
-
Ranita E Kuryan, M.D.
-
Monica Lancellotti, M.D.
-
Adam Leonetti, DO
-
Kristen Lissenden, CRNP
-
Katelyn M Llewellyn, CRNP
-
Rezarta Lloyd, DO
-
Louis Morolla, DO
-
Jason W. Rudolph, MD
-
Franklin I Margolis, M.D.
-
Mia Myrto McNeil, CRNP, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000335 | PA | Part B Supplier - Clinic/Group Practice | 3072425123 |
Receives reassigned benefits from 3,502 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- LVPG Psychiatry
- Part of
- LVPG Psychiatry
Locations
1240 S Cedar Crest Blvd
Ste 208
Allentown, PA 18103
Phone (610) 402-9780
320 W Pumping Station Rd
Ste 3
Quakertown, PA 18951
Phone (215) 529-4240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | PA | Yes |
Addresses
Primary practice location
1240 S Cedar Crest Blvd
Suite 208
Allentown, PA 18103-6369
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other names
- LVPG General and Bariatric Surgery-1240 Cedar Crest
Other providers in Allentown, PA
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
All providers in Allentown, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.