Individual provider Active NPI

Anthony J Gust, M.D.

  • Dermatology Physician
  • Allentown, PA
National Provider Identifier
1215046354
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD432121 Issued in PA
Practice address
1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373
Phone
(610) 437-4134
Fax
(610) 433-9690
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD432121 PA Primary

Addresses

Primary practice location

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373

Mailing address

1259 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-6372
Phone (610) 437-4134

Other practice location 1

236 Brodhead Rd
Bethlehem, PA 18017-8924
Phone (610) 437-4134

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agust@adaltd.emadirect.md

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000460 PA Practitioner - Dermatology 9133290323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology Associates, LTD.Group PAC ID 0244138972, 18 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Valley Health Partners Community Health CenterGroup PAC ID 4284065327, shared by 14 NPIs, 121 clinicians

Practice addresses (Care Compare)

1259 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-6373
Phone (610) 437-4134

17 TH and Chew St
101 LV Specialty Care Physicians Practice
Allentown, PA 18102-3698
Phone (610) 969-4370

400 N 17TH St
Allentown, PA 18104-5052

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision183
Removal of skin lesions2216
Removal of nail tissue1-10
Removal or shaving of skin growth14
Skin biopsy635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Associates, LTD. Dermatology CurrentSince Jul 1, 2008 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 15, 2014 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 15, 2014 Accepting new patients

Locations

1259 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 437-4134

236 Brodhead Rd
Bethlehem, PA 18017
Phone (610) 437-4134

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1215046354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036372",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036373",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180178924",
            "country_code": "US",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUST",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD432121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agust@adaltd.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "address_1": "1259 S Cedar Crest Blvd",
            "address_2": "Suite 100",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.