James Petrera, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OT023240 Issued in PA

Practice address

2830 Easton Ave
Bethlehem, PA 18017-4204

Phone

(484) 526-3555

Fax

(833) 822-5230

NPI assigned

Apr 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: jpetrera324073@direct-sluhn.org

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1225883176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 FLEMING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174204",
            "telephone_number": "484-526-3555",
            "fax_number": "833-822-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRERA",
        "first_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT023240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rebecca Peterman, CRNP-BC
• Danielle Peters, MD
• Lauren Peters, PA-C
• Karen A Peterson, CRNP
• Valerie K Peterson, LCSW
• Michael A Petrillo, D.M.D.
• Jonathan Thomas Petrole, M.S., LPC
• Skylar Rose Petrone, PA-C
• Kyle Petsch
• John P Pettine, MD

• Family Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.