PGB LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

PGB LLC

Doing business as

Devi Adult Day Services

Practice address

2045 Westgate Dr
Bethlehem, PA 18017-7480

Phone

(917) 306-5578

Fax

(610) 419-4611

NPI assigned

May 25, 2017

Organization subpart

No

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

Authorized official

Name

Hiren B Patel

Title

Member

Phone

(917) 306-5578

Specialties & licenses 1

Addresses

Other names 1

• Devi Adult Day Services Doing business as

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1619405222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 REXFORD DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209314",
            "telephone_number": "917-306-5578",
            "fax_number": "610-419-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177480",
            "telephone_number": "917-306-5578",
            "fax_number": "610-419-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-306-5578"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devi Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Petsch
• John P Pettine, MD
• Nara Lea Pezolano, LMSW
• Thomas R Pfeiffer, M.D.
• Matthew Pfenninger, M.D.
• Dattatreya M Phadke, MD
• Phuong Ho Lien Pham, MD
• Van Tuong Phan, MD
• Demitria Phaturos, PA-C
• Jared Phelps, D.O.

• Adult Day Care Clinic/Center in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.