Individual provider Active NPI

Alejandro Garcia

  • Family Medicine Physician
  • Whitehall, PA
National Provider Identifier
1578195756
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD483649 Issued in PA
Practice address
3691 Crescent CT E Ste 201
Whitehall, PA 18052-3433
Phone
(610) 434-9561
NPI assigned
Feb 6, 2020
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X MD483649 PA Primary

Addresses

Primary practice location

3691 Crescent CT E Ste 201
Whitehall, PA 18052-3433

Mailing address

450 Chew St Ste 101
Allentown, PA 18102-3434
Phone (610) 776-4888

Other practice location 1

450 Chew St Ste 101
Allentown, PA 18102-3434
Phone (610) 776-4888

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001955 PA Practitioner - Family Practice 4284087347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Max E. Mercado Practice, LLCGroup PAC ID 9739251315, 3 clinicians

Practice addresses (Care Compare)

7500 Central Ave
Suite 203
Philadelphia, PA 19111-2432
Phone (215) 289-4434

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD483649PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince Jan 22, 2024 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Mercado Medical Practice LLC CurrentSince Oct 1, 2024 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Jan 22, 2024 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1331 E Wyoming Ave
Ste 3090
Philadelphia, PA 19124
Phone (215) 289-4434

7500 Central Ave
Ste 203
Philadelphia, PA 19111
Phone (215) 289-4434

3691 Crescent Ct E
Whitehall, PA 18052
Phone (610) 434-9561

3691 Crescent Ct E
Ste 201
Whitehall, PA 18052
Phone (610) 434-9561

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1578195756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CHEW ST STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023434",
            "telephone_number": "610-776-4888",
            "fax_number": "833-690-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 CRESCENT CT E STE 201",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523433",
            "telephone_number": "610-434-9561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Chew St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023434",
            "country_code": "US",
            "telephone_number": "610-776-4888",
            "fax_number": "833-690-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD483649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.