Active NPI
Deborah J Wilson, D.O.
- Family Medicine Physician
- Allentown, PA
National Provider Identifier
1285730002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS009098L
- Practice address
- 1702 S 4TH St
Allentown, PA 18103-4924 - Phone
- (610) 791-2755
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS009098L | PA | Primary |
Addresses
Primary practice location
1702 S 4TH St
Allentown, PA 18103-4924
Mailing address
2442 Brodhead Rd
Bethlehem, PA 18020-8910
Phone (610) 758-8011
Other practice location 1
832 N Park Rd
Wyomissing, PA 19610-1307
Phone (610) 750-6130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101365386 | Medicaid | PA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions Treatment Services | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Bethlehem, PA
- NPI 1790829505
-
- Methadone Clinic
- West Reading, PA
- NPI 1215955240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1285730002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 BRODHEAD RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208910",
"telephone_number": "610-758-8011",
"fax_number": "610-758-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 S 4TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181034924",
"telephone_number": "610-791-2755"
}
],
"practiceLocations": [
{
"address_1": "832 N Park Rd",
"address_purpose": "LOCATION",
"city": "Wyomissing",
"state": "PA",
"postal_code": "196101307",
"country_code": "US",
"telephone_number": "610-750-6130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS009098L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101365386",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.