Active NPI
Lehigh Physician Group
- Family Medicine Physician
- Pennsburg, PA
National Provider Identifier
1417625450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LEHIGH PHYSICIAN GROUP
- Doing business as
- LVPG Family Medicine - Pennsburg
- Practice address
- 101 W 7TH St
Pennsburg, PA 18073-1512 - Phone
- (484) 763-5445
- Fax
- (484) 763-5446
- NPI assigned
- Sep 3, 2021
- Organization subpart
- Yes
- Parent organization
- LEHIGH VALLEY PHYSICIAN GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Stephens
- Title
- Sr VP & Chief Value Officer
- Phone
- (484) 884-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
101 W 7TH St
Pennsburg, PA 18073-1512
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other names 1
- LVPG Family Medicine - Pennsburg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000335 | PA | Part B Supplier - Clinic/Group Practice | 3072425123 |
Receives reassigned benefits from 3,502 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2244549 | LVPG Family Medicine - Pennsburg | Certificate of waiver | Dec 1, 2027 |
National Provider Directory
National Provider Directory- Part of
- LVPG Psychiatry
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1417625450",
"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": "484-884-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 7TH ST",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180731512",
"telephone_number": "484-763-5445",
"fax_number": "484-763-5446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH PHYSICIAN GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
"enumeration_date": "2021-09-03",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "SR VP & CHIEF VALUE OFFICER",
"authorized_official_telephone_number": "484-884-4500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LVPG Family Medicine - Pennsburg",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LVPG Family Medicine - Pennsburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pennsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.