NPIMap

Organization Active NPI

Progressive Physician Associates, Inc.

  • Diagnostic Radiology Physician
  • Bethlehem, PA
National Provider Identifier
1285928218
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROGRESSIVE PHYSICIAN ASSOCIATES, INC.
Practice address
425 Brighton St
#303
Bethlehem, PA 18015-1273
Phone
(610) 868-1100
Fax
(610) 868-1111
NPI assigned
Jun 7, 2011
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Ms. Susanne Deangelo
Title
Administration
Phone
(610) 868-1100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X PA
Neuroradiology Physician 2085N0700X PA
Nuclear Radiology Physician 2085N0904X PA
Diagnostic Radiology Physician 2085R0202X PA Primary

Addresses

Primary practice location

425 Brighton St
#303
Bethlehem, PA 18015-1273

Mailing address

PO Box 1156
Bethlehem, PA 18016-1156
Phone (610) 868-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040123000977 PA Part B Supplier - Clinic/Group Practice 1355243809 Receives reassigned benefits from 147 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haverford, PA; Kennett Square, PA; Lehighton, PA; New Hope, PA; North Wales, PA; Orwigsburg, PA; Palmerton, PA; Perkiomenville, PA…
O20140312000133 NJ Part B Supplier - Clinic/Group Practice 1355243809 Receives reassigned benefits from 134 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Watchung, NJ; Basking Ridge, NJ; Warren, NJ; Ventnor City, NJ; Princeton, NJ; Phillipsburg, NJ; Moorestown, NJ; Livingston, NJ…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1285928218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1156",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180161156",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BRIGHTON ST",
            "address_2": "#303",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151273",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHYSICIAN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "DEANGELO",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "610-868-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.