Active NPI
Elliot Beadle
- Registered Dietitian
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005650
- Practice address
- 1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103-6268 - Phone
- (610) 402-5000
- Fax
- (610) 402-8539
- NPI assigned
- Oct 13, 2015
- Last updated
- Oct 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN005650 | PA | Primary |
Addresses
Primary practice location
1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103-6268
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103
Phone (610) 402-2500
2100 Mack Blvd
Fl 2
Allentown, PA 18103
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1306217609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 S CEDAR CREST BLVD",
"address_2": "STE 2200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036268",
"telephone_number": "610-402-5000",
"fax_number": "610-402-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLE",
"first_name": "ELLIOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005650",
"primary": true
}
],
"identifiers": [],
"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 Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.