Individual provider Active NPI

Matthew Nussbaum, D.O.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1356548978
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013791 Issued in PA
Practice address
1941 W Hamilton St
Suite 102
Allentown, PA 18104-6470
Phone
(610) 776-1603
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013791 PA Primary

Addresses

Primary practice location

1941 W Hamilton St
Suite 102
Allentown, PA 18104-6470

Mailing address

1941 W Hamilton St
Suite 102
Allentown, PA 18104-6470
Phone (610) 776-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000238 PA Practitioner - Family Practice 5193898880 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355

1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

3080 Hamilton Blvd
Allentown, PA 18103-3694

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
  • Lehigh Valley Home Care Home health agency, Allentown, PA, CCN 397023
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS013791PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Nov 12, 2011 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
St. Luke'S Hospital CurrentSince Oct 17, 2011 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
St Luke'S Hospital CurrentSince Oct 17, 2011 Accepting new patients
Family Care Centers Inc. Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
St. Luke'S Hospital Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Nov 12, 2011 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

3080 Hamilton Blvd
Ste 300
Allentown, PA 18103
Phone (610) 402-5988

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

1941 Hamilton St
Ste 102
Allentown, PA 18104
Phone (610) 776-1603

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

3080 Hamilton Blvd
Ste 200
Allentown, PA 18103
Phone (484) 661-4641

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

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

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Interoperability endpoints

  • Direct secure messaging: mnussbaum11597@direct2.lvhn.org

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1356548978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 W HAMILTON ST",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046470",
            "telephone_number": "610-776-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 W HAMILTON ST",
            "address_2": "SUITE 102",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046470",
            "telephone_number": "610-776-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.