NPIMap

Individual provider Active NPI

Robert G Prosnitz, MD

  • Radiation Oncology Physician
  • Allentown, PA
National Provider Identifier
1275629578
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD435902 Issued in PA
Practice address
1240 South Cedar Crest Blvd
Radiation Oncology Ground Floor
Allentown, PA 18013-6248
Phone
(610) 402-0700
Fax
(610) 402-0708
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2001-00595 NC
Radiation Oncology Physician 2085R0001X MD435902 PA Primary

Addresses

Primary practice location

1240 South Cedar Crest Blvd
Radiation Oncology Ground Floor
Allentown, PA 18013-6248

Mailing address

PO Box 689
Boalsburg, PA 16827-0689
Phone (814) 237-8627

Other identifiers 1

IdentifierTypeStateIssuer
89129KHMedicaidNC

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
I20090302000582 PA Practitioner - Radiation Oncology 8921108267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allentown Radiation Oncology Associates PCGroup PAC ID 3971490715, 10 clinicians

Practice addresses (Care Compare)

1240 S Cedar Crest Blvd
Allentown, PA 18103-6369
Phone (610) 402-0709

181 E Brown St
East Stroudsburg, PA 18301-3004
Phone (570) 422-1700

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-5818

3788 Hecktown Rd
Easton, PA 18045-2355
Phone (610) 333-8909

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001-00595NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jun 24, 2022 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Allentown Radiation Oncology Associates PC Radiation Oncology CurrentSince Aug 1, 2012 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 24, 2022 Accepting new patients
Radiation Oncology Specialists of Southern Connecticut, LLC Radiation Oncology Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1240 S Cedar Crest Blvd
Ste 305
Allentown, PA 18103
Phone (610) 402-9050

1240 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-0709

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

772 E Broad St
Fl 1
Hazleton, PA 18201

Interoperability endpoints

  • Direct secure messaging: rprosnitz78080@direct2.lvhn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1275629578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168270689",
            "telephone_number": "814-237-8627",
            "fax_number": "814-238-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SOUTH CEDAR CREST BLVD",
            "address_2": "RADIATION ONCOLOGY GROUND FLOOR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "180136248",
            "telephone_number": "610-402-0700",
            "fax_number": "610-402-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSNITZ",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2001-00595",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD435902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129KH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.