Individual provider Active NPI

Maria K Smalley, PA

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1346524550
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055232 Issued in PA
Practice address
1417 8TH Ave
Bethlehem, PA 18018-2256
Phone
(484) 526-5210
Fax
(484) 526-5237
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055232 PA Primary

Addresses

Primary practice location

1417 8TH Ave
Bethlehem, PA 18018-2256

Mailing address

1417 8TH Ave
Bethlehem, PA 18018-2256
Phone (484) 526-5210

Other names 1

  • Maria K Lieberman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111031000575 PA Practitioner - Physician Assistant 5496928889 Reassigns benefits to 3 organizations
I20180517000569 NJ Practitioner - Physician Assistant 5496928889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055232PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 14, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 14, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 1, 2017 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Apr 14, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 1, 2017 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Apr 14, 2018 Accepting new patients
Gslpg Inc Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

185 Roseberry St
Fl 2
Phillipsburg, NJ 08865
Phone (908) 847-2621

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

240 Cetronia Rd
Ste 210A
Allentown, PA 18104
Phone (484) 426-2626

5445 Lanark Rd
Ste 202
Center Valley, PA 18034
Phone (484) 526-5740

3 Parkinsons Rd
East Stroudsburg, PA 18301
Phone (570) 424-1102

2403 Butler St
Easton, PA 18042
Phone (484) 822-5405

1700 St Lukes Blvd
Ste 300
Easton, PA 18045
Phone (610) 838-7638

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

525 Iron St
Lehighton, PA 18235
Phone (610) 377-4148

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

2550 Route 100
Ste 200
Macungie, PA 18062
Phone (484) 822-5104

2550 Route 100
Ste 230
Macungie, PA 18062

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1534 Park Ave
Quakertown, PA 18951
Phone (267) 424-8750

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346524550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-5210",
            "fax_number": "484-526-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 8TH AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182256",
            "telephone_number": "484-526-5210",
            "fax_number": "484-526-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "MARIA",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LIEBERMAN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.