Individual provider Active NPI

Mark Steven Bartolacci, PA-C

  • Medical Physician Assistant
  • Easton, PA
National Provider Identifier
1174344949
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA066135 Issued in PA
Practice address
2401 Northampton St Ste 130
Easton, PA 18045-2764
Phone
(484) 591-7420
NPI assigned
Oct 23, 2024
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA066135 PA
Medical Physician Assistant 363AM0700X MA066135 PA Primary

Addresses

Primary practice location

2401 Northampton St Ste 130
Easton, PA 18045-2764

Mailing address

3024 Easton Ave
Bethlehem, PA 18017-4208
Phone (610) 694-1000

Other practice location 1

3024 Easton Ave
Bethlehem, PA 18017-4208
Phone (610) 694-1000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325001780 PA Practitioner - Physician Assistant 3870016421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

3024 Easton Ave
LVPG Family Medicine
Bethlehem, PA 18017-4208
Phone (610) 694-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA066135PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince Mar 17, 2025 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Mar 17, 2025 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3024 Easton Ave
Bethlehem, PA 18017
Phone (610) 694-1000

2401 Northampton St
Ste 130
Easton, PA 18045
Phone (484) 591-7420

3701 Corriere Rd
Easton, PA 18045
Phone (484) 591-7000

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

Interoperability endpoints

  • Direct secure messaging: mbartolacci829530@direct2.lvhn.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1174344949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174208",
            "telephone_number": "610-694-1000",
            "fax_number": "610-867-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NORTHAMPTON ST STE 130",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452764",
            "telephone_number": "484-591-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180174208",
            "country_code": "US",
            "telephone_number": "610-694-1000",
            "fax_number": "610-867-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTOLACCI",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA066135",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.