NPIMap

Individual provider Active NPI

Queena Lin

  • Physician Assistant
  • Lehighton, PA
National Provider Identifier
1376374058
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067260 Issued in PA
Practice address
575 S 9TH St
Lehighton, PA 18235-2517
Phone
(484) 503-4673
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA067260 PA Primary

Addresses

Primary practice location

575 S 9TH St
Lehighton, PA 18235-2517

Mailing address

52 Madison LN
Whitehall, PA 18052-3749
Phone (610) 504-8752

Other practice location 1

240 Cetronia Rd
Allentown, PA 18104-9263
Phone (484) 503-4600

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
I20251124003589 PA Practitioner - Physician Assistant 2466944756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
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)

575 S 9TH St
Lehighton, PA 18235-2517

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067260PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Nov 24, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 24, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

240 Cetronia Rd
Ste 100N
Allentown, PA 18104
Phone (610) 628-8010

240 Cetronia Rd
Allentown, PA 18104
Phone (484) 503-4600

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

575 S 9th St
Ste 8
Lehighton, PA 18235
Phone (570) 645-1013

575 S 9th St
Lehighton, PA 18235
Phone (570) 645-1035

Organizations & group practices 4

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 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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1376374058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MADISON LN",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523749",
            "telephone_number": "610-504-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517",
            "telephone_number": "484-503-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Cetronia Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181049263",
            "country_code": "US",
            "telephone_number": "484-503-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "QUEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.