NPIMap

Individual provider Active NPI

Natasha Mozumdar Carlson, MD

  • Family Medicine Physician
  • Easton, PA
National Provider Identifier
1376035485
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD474791 Issued in PA
Practice address
3794 Hecktown Rd Ste 250
Easton, PA 18045-2355
Phone
(484) 546-5800
Fax
(484) 544-0122
NPI assigned
Jun 4, 2018
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT215792 PA
Family Medicine Physician 207Q00000X MD474791 PA Primary

Addresses

Primary practice location

3794 Hecktown Rd Ste 250
Easton, PA 18045-2355

Mailing address

1730 Chew St
Allentown, PA 18104-5549
Phone (610) 969-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924002804 PA Practitioner - Family Practice 9739425992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

3794 Hecktown Rd
Suite 250
Easton, PA 18045-2355
Phone (484) 546-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT215792PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Aug 23, 2021 Accepting new patients
Family Care Centers Inc Family Medicine CurrentSince Oct 12, 2023 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Aug 23, 2021 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Medicine Current Accepting new patients
Family Care Centers Inc. Family Medicine Current Accepting new patients

Locations

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

3024 Easton Ave
Bethlehem, PA 18017
Phone (610) 694-1000

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

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

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

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

2741 MacArthur Rd
Whitehall, PA 18052
Phone (610) 403-6000

Interoperability endpoints

  • Direct secure messaging: nmozumdar298465@direct2.lvhn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1376035485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045549",
            "telephone_number": "610-969-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3794 HECKTOWN RD STE 250",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452355",
            "telephone_number": "484-546-5800",
            "fax_number": "484-544-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "NATASHA",
        "middle_name": "MOZUMDAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2021-09-14",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT215792",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD474791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.