Organization Active NPI

Bethlehem Infectious Diseases Associates LLC

  • Infectious Disease Physician
  • Bethlehem, PA
National Provider Identifier
1174616866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
BETHLEHEM INFECTIOUS DISEASES ASSOCIATES LLC
Practice address
801 Ostrum Street
Bethlehem, PA 18015
Phone
(610) 954-4000
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thong P Le, MD
Title
President
Phone
(610) 954-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

801 Ostrum Street
Bethlehem, PA 18015

Mailing address

PO Box 3667
Allentown, PA 18106-0667
Phone (610) 289-2980

Other identifiers 1

IdentifierTypeStateIssuer
1016472400001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2545 Schoenersville Rd
Fl 4
Bethlehem, PA 18017
Phone (484) 884-1011

35 E Elizabeth Ave
Ste 34
Bethlehem, PA 18018

801 Ostrum St
Ste 300
Bethlehem, PA 18015
Phone (484) 893-4415

800 Ostrum St
Ste 300
Fountain Hill, PA 18015
Phone (610) 866-0113

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174616866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3667",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181060667",
            "telephone_number": "610-289-2980",
            "fax_number": "610-289-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM STREET",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18015",
            "telephone_number": "610-954-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM INFECTIOUS DISEASES ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THONG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-954-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016472400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.