NPIMap

Organization Active NPI

Lehigh Valley Physician Group

Doing business as LVPG Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Allentown, PA
National Provider Identifier
1154473668
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Doing business as
LVPG Adolescent Medicine
LVPG Adolescent Medicine - Easton
LVPG Adolescent Medicine - Pennsburg
Practice address
3080 Hamilton Blvd Ste 200
Allentown, PA 18103-3692
Phone
(484) 661-4642
Fax
(484) 661-4844
NPI assigned
Jan 17, 2007
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LEHIGH VALLEY PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Jennifer Stephens
Title
Sr VP & Chief Value Officer
Phone
(484) 884-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

3080 Hamilton Blvd Ste 200
Allentown, PA 18103-3692

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

400 N 17th St
Suite 202
Allentown, PA 18104-5052
Phone (484) 664-2450

Other names 3

  • LVPG Adolescent Medicine Doing business as
  • LVPG Adolescent Medicine - Easton Doing business as
  • LVPG Adolescent Medicine - Pennsburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Part of
Lehigh Vly Phy GP

Locations

400 N 17th St
Ste 202
Allentown, PA 18104
Phone (484) 664-2450

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1154473668",
    "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",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HAMILTON BLVD STE 200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033692",
            "telephone_number": "484-661-4642",
            "fax_number": "484-661-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 17th St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045052",
            "country_code": "US",
            "telephone_number": "484-664-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR VP & CHIEF VALUE OFFICER",
        "authorized_official_telephone_number": "484-884-4500"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LVPG Adolescent Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LVPG Adolescent Medicine - Easton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LVPG Adolescent Medicine - Pennsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.