Organization Active NPI

Specialty Physician Associates, LLC

  • Otolaryngology Physician
  • Bethlehem, PA
National Provider Identifier
1487960639
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SPECIALTY PHYSICIAN ASSOCIATES, LLC
Practice address
3445 High Point Blvd., Suite 400
Bethlehem, PA 18017-7817
Phone
(610) 866-5555
Fax
(610) 866-3151
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
David M Yen, M.D.NPI 1033174503
Title
Owner/President
Phone
(610) 866-5555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X

Addresses

Primary practice location

3445 High Point Blvd., Suite 400
Bethlehem, PA 18017-7817

Mailing address

3445 High Point Blvd.
Suite 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

Other names 1

  • SPA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110512000036 PA Part B Supplier - Clinic/Group Practice 6204012016 Receives reassigned benefits from 57 practitioners
Practice locations: Wind Gap, PA; Bethlehem, PA
O20130412000391 NJ Part B Supplier - Clinic/Group Practice 6204012016 Receives reassigned benefits from 12 practitioners
Practice locations: Phillipsburg, NJ

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
39D2170160Specialty Physician Associates, LLC3445 High Point Blvd, Ste 400, Bethlehem, PA 18017Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

250 Cetronia Rd
Fl 2
Allentown, PA 18104
Phone (610) 395-8224

1728 W Jonathan St
Allentown, PA 18104
Phone (610) 433-8550

1728 W Jonathan St
Ste 100
Allentown, PA 18104
Phone (610) 628-1225

3445 High Point Blvd
Ste 400
Bethlehem, PA 18017
Phone (610) 824-5050

4315 Easton Ave
Bethlehem, PA 18020

2851 Baglyos Cir
Ste 201
Bethlehem, PA 18020
Phone (610) 515-1590

3445 High Point Blvd
Ste 202
Bethlehem, PA 18017
Phone (610) 691-2282

3445 High Point Blvd
Ste 4
Bethlehem, PA 18017

2925 Wm Penn Hwy
Ste 303
Easton, PA 18045
Phone (610) 559-9622

2925 Wm Penn Hwy
Easton, PA 18045
Phone (610) 250-4288

1900 Am Dr
Ste 101
Quakertown, PA 18951
Phone (267) 875-0080

6695 Sullivan Trl
Ste 103
Wind Gap, PA 18091

497 Bushkill Plaza Ln
Ste C
Wind Gap, PA 18091
Phone (610) 365-2144

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76651

Practitioners & affiliated clinicians

Practitioners 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1487960639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD.",
            "address_2": "SUITE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555",
            "fax_number": "610-866-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD., SUITE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555",
            "fax_number": "610-866-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHYSICIAN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "610-866-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 16, 2016; 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.