NPIMap

Individual provider Active NPI

Amory Jean Mumbauer, PA

  • Medical Physician Assistant
  • Allentown, PA
National Provider Identifier
1184901563
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055298 Issued in PA
Practice address
1146 S. Cedar Crest Blvd
2ND Floor
Allentown, PA 18103-7938
Phone
(610) 366-9000
Fax
(610) 366-9229
NPI assigned
Nov 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055298 PA Primary

Addresses

Primary practice location

1146 S. Cedar Crest Blvd
2ND Floor
Allentown, PA 18103-7938

Mailing address

1146 S. Cedar Crest Blvd.
2ND Floor
Allentown, PA 18103-7938

Other names 1

  • Amory Jean Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000155 PA Practitioner - Physician Assistant 6002075975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Pain and Primary Care IncGroup PAC ID 7315851565, 7 clinicians

Practice addresses (Care Compare)

1146 S Cedar Crest Blvd
Allentown, PA 18103-7938
Phone (610) 366-9000

1789 N Keyser Ave
Scranton, PA 18508-1250
Phone (610) 366-9000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

Merit-based Incentive Payment System (MIPS)

Final score
18.85 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055298PAMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1321142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1184901563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 S. CEDAR CREST BLVD.",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 S. CEDAR CREST BLVD",
            "address_2": "2ND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938",
            "telephone_number": "610-366-9000",
            "fax_number": "610-366-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMBAUER",
        "first_name": "AMORY",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-13",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMORY",
            "last_name": "BENNETT",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.