Active NPI
Nicholas C Latham
- Physician Assistant
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA061421
- Practice address
- 801 Ostrum St
Bethlehem, PA 18015-1000 - Phone
- (484) 526-4500
- Fax
- (484) 526-6674
- NPI assigned
- Jan 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 035036 | NY | |
| Physician Assistant | 363A00000X | MA061421 | PA | Primary |
Addresses
Primary practice location
801 Ostrum St
Bethlehem, PA 18015-1000
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4500
Other practice location 1
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0819751 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700
32 Central Ave
Wellsboro, PA 16901-1899
Phone (570) 723-7764
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035036 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New York, P.C. | Physician Assistant | Current | Accepting new patients |
| Buffalo Emergency Associates LLP | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Current | Accepting new patients |
Locations
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
Physician Assistant
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Physician Assistant
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Emergency Physician Specialists
- Emergency Medicine Physician
- Bethlehem, PA
- NPI 1730133059
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1639700958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "484-526-4500",
"fax_number": "484-526-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "484-526-4500",
"fax_number": "484-526-6674"
}
],
"practiceLocations": [
{
"address_1": "1201 Langhorne Newtown Rd",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471201",
"country_code": "US",
"telephone_number": "215-710-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATHAM",
"first_name": "NICHOLAS",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-27",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "035036",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA061421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0819751",
"state": "NJ"
}
],
"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 Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.