Individual provider Active NPI

Stuart Boreen, MD

  • Anesthesiology Physician
  • Bethlehem, PA
National Provider Identifier
1104884204
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
039393E Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(610) 954-5810
Fax
(610) 954-5480
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA05123600 NJ
Anesthesiology Physician 207L00000X 039393E PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

PO Box 5520
Bethlehem, PA 18015-0520
Phone (610) 954-5810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070505000129 PA Practitioner - Anesthesiology 4688655483 Reassigns benefits to 4 organizations
I20170811001098 NJ Practitioner - Anesthesiology 4688655483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollo Medical Group of Pennsylvania LLCGroup PAC ID 4486180049, 21 clinicians

Practice addresses (Care Compare)

2851 Baglyos Cir
Suite 100
Bethlehem, PA 18020-8038
Phone (484) 821-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039393EPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Warren, LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Apollo Medical Group of Pennsylvania LLC Anesthesiology CurrentSince Dec 10, 2024 Accepting new patients
Lehigh Anesthesia Associates, P.C. Anesthesiology CurrentSince Oct 22, 2023 Accepting new patients
Anesthesia Specialists of Bethlehem, PC Anesthesiology CurrentSince Mar 30, 1990 Accepting new patients
Centurion Anesthesia Penn LLC Anesthesiology CurrentSince Jul 4, 2025 Accepting new patients
Northeastern Anesthesia Physicians P.C. Anesthesiology Past Accepting new patients
Ridley Crossings Surgical Center Past Accepting new patients

Locations

255 W Michigan Ave
Jackson, MI 49201

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

200 Broadway
Ste 3149
Brooklyn, NY 11211

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

5100 W Tilghman St
Ste 315
Allentown, PA 18104
Phone (610) 395-4044

2851 Baglyos Cir
Ste 100
Bethlehem, PA 18020
Phone (484) 821-0550

1 W Broad St
Ste 506
Bethlehem, PA 18018
Phone 6109545810 ext. 3

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

1553 Chester Pike
Ste 102
Crum Lynne, PA 19022
Phone (484) 487-0369

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

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

404 2nd Street Pike
Southampton, PA 18966

Interoperability endpoints

  • Direct secure messaging: sboreen14911@direct-sluhn.org

Organizations & group practices 7

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1104884204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5520",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150520",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREEN",
        "first_name": "STUART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA05123600",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "039393E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.