Active NPI
St Lukes Hospital
Doing business as St Lukes Allentown Out-Patient Nutrition Services
- Registered Dietitian
- Allentown, PA
National Provider Identifier
1285896704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ST LUKES HOSPITAL
- Doing business as
- St Lukes Allentown Out-Patient Nutrition Services
- Practice address
- 1501 Lehigh St
Allentown, PA 18103-3880 - Phone
- (610) 628-8977
- Fax
- (610) 628-8432
- NPI assigned
- Jun 26, 2008
- Organization subpart
- Yes
- Parent organization
- ST LUKES HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John I Bruno, DO
- Title
- VP Medical Affairs
- Phone
- (610) 628-8340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | PA | Primary |
Addresses
Primary practice location
1501 Lehigh St
Allentown, PA 18103-3880
Mailing address
1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 628-8977
Other names 1
- St Lukes Allentown Out-Patient Nutrition Services
National Provider Directory
National Provider Directory- Part of
- St Lukes Hosp Bethlehem
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1285896704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 W HAMILTON ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045656",
"telephone_number": "610-628-8977",
"fax_number": "610-628-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 LEHIGH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033880",
"telephone_number": "610-628-8977",
"fax_number": "610-628-8432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKES HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST LUKES HOSPITAL",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "VP MEDICAL AFFAIRS",
"authorized_official_telephone_number": "610-628-8340",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St Lukes Allentown Out-Patient Nutrition Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Allentown, PA
- St Luke's Hospital (St. Luke's Hospital- Sacred Heart Campus)
- St Luke's Physician Group Inc (St. Luke's Developmental Pediatrics)
- St Luke's Physician Group Inc
- St Luke's Sacred Heart Campus
- St Lukes Homestar Services LLC (ST. LUKE'S HOMESTAR PHARMACY - Allentown)
- Jamie St. Clair, M.S, CCC-SLP/L
- St. Luke's Hospital
- St. Luke's Hospital (St. Luke's Hospital Allentown Campus)
- St. Luke's Hospital
- St. Luke's Hospital (St. Luke's Hospital - Allentown Campus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.