Organization Active NPI

Hometown Internal Medicine

  • Internal Medicine Physician
  • Allentown, PA
National Provider Identifier
1326341561
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD072392L Issued in PA
Legal business name
HOMETOWN INTERNAL MEDICINE
Practice address
2905 Edgemont Dr
Allentown, PA 18103-5409
Phone
(610) 770-9569
Fax
(610) 770-9569
NPI assigned
Dec 9, 2010
Last updated
Mar 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Robert Gordon Madeira, M.D.NPI 1578524211
Title
President
Phone
(610) 770-9569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD072392L PA Primary

Addresses

Primary practice location

2905 Edgemont Dr
Allentown, PA 18103-5409

Mailing address

2905 Edgemont Dr
Allentown, PA 18103-5409
Phone (610) 770-9569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1326341561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 EDGEMONT DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035409",
            "telephone_number": "610-770-9569",
            "fax_number": "610-770-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 EDGEMONT DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035409",
            "telephone_number": "610-770-9569",
            "fax_number": "610-770-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "MADEIRA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-770-9569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD072392L",
            "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 Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.