NPIMap

Organization Active NPI

Lehigh Valley Physician Group

Doing business as LVPG Family Medicine - Blandon

  • Family Medicine Physician
  • Blandon, PA
National Provider Identifier
1316265192
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Doing business as
LVPG Family Medicine - Blandon
Practice address
850 Golden Dr
Blandon, PA 19510-9631
Phone
(610) 944-5555
NPI assigned
May 4, 2010
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LEHIGH VALLEY PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
John Berzinsky
Title
VP, Cfo
Phone
(484) 884-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

850 Golden Dr
Blandon, PA 19510-9631

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Other names 1

  • LVPG Family Medicine - Blandon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000335 PA Part B Supplier - Clinic/Group Practice 3072425123 Receives reassigned benefits from 3,502 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Lehigh Vly Phy GP

Locations

101 N 6th St
Ste 320
Allentown, PA 18101
Phone (610) 969-3500

1101 S Cedar Crest Blvd
Ste 200
Allentown, PA 18103

2900 Hamilton Blvd
Ste 100
Allentown, PA 18103

2901 Hamilton Blvd
Unit 200
Allentown, PA 18103

401 N 17th St
Ste 303
Allentown, PA 18104

480 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 402-8950

2101 Emrick Blvd
Ste 101
Bethlehem, PA 18020
Phone (484) 895-3360

14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800

1431 Nursery St
Ste 101AB
Fogelsville, PA 18051

3691 Crescent Ct E
Ste 201100
Whitehall, PA 18052

Practitioners & affiliated clinicians

Practitioners 54

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 54

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1316265192",
    "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": "850 GOLDEN DR",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109631",
            "telephone_number": "610-944-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2010-05-04",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BERZINSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "484-884-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LVPG Family Medicine - Blandon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blandon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.