Active NPI
Aubrey Li Clark, DO
- Internal Medicine Physician
- Center Valley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS023488
- Practice address
- 3800 Sierra Cir Ste 300
Center Valley, PA 18034-8478 - Phone
- (484) 664-2480
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT020558 | PA | |
| Internal Medicine Physician | 207R00000X | OS023488 | PA | Primary |
Addresses
Primary practice location
3800 Sierra Cir Ste 300
Center Valley, PA 18034-8478
Mailing address
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Other practice location 1
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-5100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 610-402-5100 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1627 Chew St
Allentown, PA 18102-3648
3800 Sierra Cir
Suite 115
Center Valley, PA 18034-8476
Phone (484) 664-2480
Hospital & facility affiliations
- Lehigh Valley Hospital
- St Lukes Hospital
- Good Shepherd Rehabilitation Hospital, the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS023488 | PA | MD | Internal Medicine Physician |
| OT020558 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Internal Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Internal Medicine | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800
3800 Sierra Cir
Ste 115
Center Valley, PA 18034
Phone (484) 664-2480
3800 Sierra Cir
Ste 300
Center Valley, PA 18034
Phone (484) 661-2480
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
Organizations & group practices 6
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.
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Internal Medicine
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Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Center Valley, PA
- NPI 1255374799
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Allentown, PA
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-
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- Bethlehem, PA
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-
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- Allentown, PA
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- Lehighton, PA
- NPI 1528737988
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- NPI 1013933175
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Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1215518527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SIERRA CIR STE 300",
"city": "CENTER VALLEY",
"state": "PA",
"postal_code": "180348478",
"telephone_number": "484-664-2480"
}
],
"practiceLocations": [
{
"address_1": "1200 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036202",
"country_code": "US",
"telephone_number": "610-402-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "AUBREY",
"middle_name": "LI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT020558",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS023488",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "610-402-5100",
"affiliation": "N",
"address_1": "1200 S Cedar Crest Blvd",
"city": "Allentown",
"state": "PA",
"country_code": "US",
"postal_code": "181036202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Center Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.