Active NPI
Defeo and Lilly, PC
- Podiatrist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001701L
- Legal business name
- DEFEO AND LILLY, PC
- Practice address
- 3131 College Heights Blvd
Suite 1500
Allentown, PA 18104-4877 - Phone
- (610) 821-0444
- Fax
- (610) 820-7006
- NPI assigned
- Sep 1, 2006
- Last updated
- Jan 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Thomas Defeo, DPM
- Title
- President
- Phone
- (610) 821-0444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001701L | PA | Primary |
Addresses
Primary practice location
3131 College Heights Blvd
Suite 1500
Allentown, PA 18104-4877
Mailing address
3131 College Heights Blvd
Suite 1500
Allentown, PA 18104-4877
Phone (610) 821-0444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041080000 | Other | INDEPENDENCE BLUE CROSS | |
| 01188301 | Other | CAPITAL BLUE CROSS | |
| 013746 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3131 College Heights Blvd
Ste 1500
Allentown, PA 18104
Phone (610) 821-0444
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Allentown, PA
- NPI 1164520524
-
- Podiatrist
- Allentown, PA
- NPI 1427165422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389225600000",
"number": "1518069749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"address_2": "SUITE 1500",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044877",
"telephone_number": "610-821-0444",
"fax_number": "610-820-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 COLLEGE HEIGHTS BLVD",
"address_2": "SUITE 1500",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181044877",
"telephone_number": "610-821-0444",
"fax_number": "610-820-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFEO AND LILLY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2014-01-09",
"status": "A",
"authorized_official_last_name": "DEFEO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-821-0444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001701L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0041080000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01188301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "013746",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.