NPIMap

Individual provider Active NPI

Connie Gwendolyn Tang

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Allentown, PA
National Provider Identifier
1396131868
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
License
MD462323 Issued in PA
Practice address
1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone
(610) 402-8420
NPI assigned
Apr 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 282544 MA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X MD462323 PA Primary

Addresses

Primary practice location

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (848) 844-5004

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
I20220831000010 PA Practitioner - Neurology 4789903592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2011
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)

1250 S Cedar Crest Blvd
400 LVPG Neurosurgery
Allentown, PA 18103-6224
Phone (610) 402-6555

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD462323PAMDNeuromuscular Medicine (Psychiatry & Neurology) Physician
282544MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 8, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 8, 2022 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

1250 S Cedar Crest Blvd
Ste 405
Allentown, PA 18103
Phone (610) 402-8420

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

1250 S Cedar Crest Blvd
Ste 400
Allentown, PA 18103
Phone (610) 402-3650

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

Interoperability endpoints

  • Direct secure messaging: ctang687342@direct2.lvhn.org

Organizations & group practices 7

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1428796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1396131868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "848-844-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD STE 405",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036224",
            "telephone_number": "610-402-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "CONNIE",
        "middle_name": "GWENDOLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-12",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "282544",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "PA",
            "license": "MD462323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.