Organization Active NPI

Vellore Medical Associates,P.C.

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1578645123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420822 Issued in PA
Legal business name
VELLORE MEDICAL ASSOCIATES,P.C.
Practice address
3893 Adler PL
Suite 160, BLDG B
Bethlehem, PA 18017-9072
Phone
(610) 882-4000
Fax
(610) 882-4022
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thriveni Ramkumar Vellore, M.D.
Title
President
Phone
(610) 882-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD420822 PA Primary

Addresses

Primary practice location

3893 Adler PL
Suite 160, BLDG B
Bethlehem, PA 18017-9072

Mailing address

3893 Adler PL
Suite 160, BLDG B
Bethlehem, PA 18017-9072
Phone (610) 882-4000

National Provider Directory

National Provider Directory

Locations

3893 Adler Pl
Ste B
Bethlehem, PA 18017
Phone (610) 882-4000

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578645123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 ADLER PL",
            "address_2": "SUITE 160, BLDG B",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179072",
            "telephone_number": "610-882-4000",
            "fax_number": "610-882-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3893 ADLER PL",
            "address_2": "SUITE 160, BLDG B",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179072",
            "telephone_number": "610-882-4000",
            "fax_number": "610-882-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELLORE MEDICAL ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELLORE",
        "authorized_official_first_name": "THRIVENI",
        "authorized_official_middle_name": "RAMKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-882-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.