NPIMap

Organization Active NPI

Lehigh Valley Physician Group

  • Family Medicine Physician
  • Fleetwood, PA
National Provider Identifier
1164866638
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Practice address
14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone
(610) 944-8800
Fax
(610) 944-8213
NPI assigned
Apr 26, 2013
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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14351 Kutztown Rd
Fleetwood, PA 19522-9273

Mailing address

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

Other practice location 1

850 Golden Dr Ste 1
Blandon, PA 19510-9657
Phone (610) 944-5555

Other names 1

  • LVPG Family Medicine - Moselem Springs 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2021867LVPG Fam Med - Moselem Springs14351 Kutztown Road, Fleetwood, PA 19522Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory
Part of
LVPG Psychiatry

Locations

1243 S Cedar Crest Blvd
Ste 2400
Allentown, PA 18103
Phone (610) 395-3356

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1164866638",
    "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",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 KUTZTOWN RD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195229273",
            "telephone_number": "610-944-8800",
            "fax_number": "610-944-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Golden Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Blandon",
            "state": "PA",
            "postal_code": "195109657",
            "country_code": "US",
            "telephone_number": "610-944-5555",
            "fax_number": "610-944-5551",
            "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": "2013-04-26",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LVPG Family Medicine - Moselem Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LVPG Family Medicine - Moselem Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fleetwood, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.