NPIMap

Individual provider Active NPI

Mary Catherine Lare, DO

  • Family Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1629573985
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS023385 Issued in PA
Practice address
3101 Emrick Blvd Ste 112
Bethlehem, PA 18020-8037
Phone
(484) 822-5570
Fax
(833) 932-1227
NPI assigned
Mar 28, 2018
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X OS023385 PA Primary
Family Medicine Physician 207Q00000X 25MB11132500 NJ

Addresses

Primary practice location

3101 Emrick Blvd Ste 112
Bethlehem, PA 18020-8037

Mailing address

3101 Emrick Blvd Ste 112
Bethlehem, PA 18020-8037
Phone (484) 822-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001511 PA Practitioner - Family Practice 1052717063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Rehabilitation and Fitness, Inc.Group PAC ID 5799741690, 16 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

15 -17 Microlab Rd
Livingston, NJ 07039-1623

2925 William Penn Hwy
Easton, PA 18045-5283

3101 Emrick Blvd
Bethlehem, PA 18020-8037

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11132500NJMDFamily Medicine Physician
OS023385PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Feb 3, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

3101 Emrick Blvd
Ste 112
Bethlehem, PA 18020
Phone (610) 419-6426

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: mlare338873@direct-sluhn.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1629573985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD STE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "484-822-5570",
            "fax_number": "833-932-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD STE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "484-822-5570",
            "fax_number": "833-932-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARE",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "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": "OS023385",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB11132500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.