Individual provider Active NPI

Neilson Mathews, M.D.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1114920915
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD061592L Issued in PA
Practice address
1730 Chew St
Allentown, PA 18104-5549
Phone
(610) 969-3500
Fax
(610) 969-3509
NPI assigned
May 24, 2005
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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 MD061592L PA Primary

Addresses

Primary practice location

1730 Chew St
Allentown, PA 18104-5549

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Other identifiers 1

IdentifierTypeStateIssuer
0016926900002MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000174 PA Practitioner - Family Practice 2961462395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1627 Chew St
Allentown, PA 18102-3648

400 N 17TH St
Allentown, PA 18104-5052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061592LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Family Medicine CurrentSince Sep 1, 2000 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Dec 17, 2012 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Dec 17, 2012 Accepting new patients
Abington Memorial Hospital CurrentSince Sep 1, 2000 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients

Locations

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

2100 Mack Blvd
Fl 4
Allentown, PA 18103

500 York Rd
Ste 108
Jenkintown, PA 19046
Phone (215) 481-2725

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

99 N West End Blvd
Ste 106
Quakertown, PA 18951
Phone (215) 538-0202

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1114920915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045549",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "NEILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD061592L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016926900002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.