Active NPI
Joelynn Fitz, D.O.
- Pediatric Gastroenterology Physician
- Allentown, PA
National Provider Identifier
1548647183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- OS021248
- Practice address
- 1210 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6235 - Phone
- (610) 402-3888
- Fax
- (610) 402-3892
- NPI assigned
- May 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OT016506 | PA | |
| Pediatric Gastroenterology Physician | 2080P0206X | OS021248 | PA | Primary |
Addresses
Primary practice location
1210 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6235
Mailing address
2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-0617
Other practice location 1
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT016506 | PA | MD | Pediatrics Physician |
| OS021248 | PA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Pediatrics | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
1210 S Cedar Crest Blvd
Ste 2400
Allentown, PA 18103
Phone (610) 402-3888
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
2401 Northampton St
Ste 201
Easton, PA 18045
Interoperability endpoints
- jdailey12314@direct2.lvhn.org
Organizations & group practices 5
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.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Hospitalist Physician
- Allentown, PA
- NPI 1982778304
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1548647183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "484-884-0617",
"fax_number": "484-884-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S CEDAR CREST BLVD STE 2400",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036235",
"telephone_number": "610-402-3888",
"fax_number": "610-402-3892"
}
],
"practiceLocations": [
{
"address_1": "282 Washington St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063322",
"country_code": "US",
"telephone_number": "860-545-9560",
"fax_number": "860-545-9561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZ",
"first_name": "JOELYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OT016506",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "PA",
"license": "OS021248",
"primary": true
}
],
"identifiers": [],
"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 Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.