Individual provider Active NPI

Vincent Michael Nocella

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1598584450
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA066046 Issued in PA
Practice address
940 N New St Ste 120
Bethlehem, PA 18018-2756
Phone
(610) 866-2010
Fax
(610) 866-4359
NPI assigned
Oct 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA066046 PA Primary

Addresses

Primary practice location

940 N New St Ste 120
Bethlehem, PA 18018-2756

Mailing address

940 N New St Ste 120
Bethlehem, PA 18018-2756
Phone (610) 866-2010

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130000117 PA Practitioner - Physician Assistant 8628507084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Dermatology Assoc, LTD.Group PAC ID 7618873514, 5 clinicians

Practice addresses (Care Compare)

190 Brodhead Rd
Suite 205
Bethlehem, PA 18017-8617
Phone (610) 866-2010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: vnocella305840@direct-sluhn.org

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1598584450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N NEW ST STE 120",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182756",
            "telephone_number": "610-866-2010",
            "fax_number": "610-866-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N NEW ST STE 120",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182756",
            "telephone_number": "610-866-2010",
            "fax_number": "610-866-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCELLA",
        "first_name": "VINCENT",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.