Organization Active NPI

Joseph J Zaladonis, Jr, MD, PC

  • Dermatology Physician
  • Bethlehem, PA
National Provider Identifier
1407935851
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD044362L Issued in PA
Legal business name
JOSEPH J ZALADONIS, JR, MD, PC
Practice address
1665 Valley Center Pkwy
Suite 120
Bethlehem, PA 18017-2346
Phone
(610) 868-3150
Fax
(610) 868-3156
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Joseph J Zaladonis Jr., MDNPI 1013949346
Title
Owner
Phone
(610) 868-3150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD044362L PA Primary

Addresses

Primary practice location

1665 Valley Center Pkwy
Suite 120
Bethlehem, PA 18017-2346

Mailing address

1665 Valley Center Pkwy
Suite 120
Bethlehem, PA 18017-2346
Phone (610) 868-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000170 PA Part B Supplier - Clinic/Group Practice 8426145269 Receives reassigned benefits from 2 practitioners
Practice locations: Bethlehem, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0908941Joseph J Zaladonis Jr MD Lab1665 Valley Center Parkway, Suite 120, Bethlehem, PA 18017ComplianceOct 1, 2027

National Provider Directory

National Provider Directory

Locations

1665 Valley Center Pkwy
Ste 120
Bethlehem, PA 18017
Phone (610) 868-3150

Interoperability endpoints

  • Direct secure messaging: skindoctor@zaladonis.emadirect.md

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1407935851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 VALLEY CENTER PKWY",
            "address_2": "SUITE 120",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172346",
            "telephone_number": "610-868-3150",
            "fax_number": "610-868-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 VALLEY CENTER PKWY",
            "address_2": "SUITE 120",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172346",
            "telephone_number": "610-868-3150",
            "fax_number": "610-868-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J ZALADONIS, JR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ZALADONIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-868-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD044362L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.