Organization Active NPI

Podiatry Associates of the Lehigh Valley, LLC

Doing business as Podiatry Associates of the Lehigh Valley

  • Foot & Ankle Surgery Podiatrist
  • Bethlehem, PA
National Provider Identifier
1649440850
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
AD1583803 Issued in PA
Legal business name
PODIATRY ASSOCIATES OF THE LEHIGH VALLEY, LLC
Doing business as
Podiatry Associates of the Lehigh Valley
Practice address
303 W Broad St
Bethlehem, PA 18018-5526
Phone
(610) 865-0311
Fax
(610) 865-9458
NPI assigned
Mar 4, 2008
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Robert A Diamond, D.P.M.NPI 1588661284
Title
Podiatrist
Phone
(610) 865-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X AD1583803 PA Primary

Addresses

Primary practice location

303 W Broad St
Bethlehem, PA 18018-5526

Mailing address

303 W Broad St
Bethlehem, PA 18018-5526
Phone (610) 865-0311

Other identifiers 2

IdentifierTypeStateIssuer
9355611OtherPAAETNA
3425983000OtherPAIBX PROVIDER #

Other names 1

  • Podiatry Associates of the Lehigh Valley Doing business as

National Provider Directory

National Provider Directory

Locations

1534 Park Ave
Ste 230
Quakertown, PA 18951
Phone (215) 529-5222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1649440850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185526",
            "telephone_number": "610-865-0311",
            "fax_number": "610-865-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185526",
            "telephone_number": "610-865-0311",
            "fax_number": "610-865-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES OF THE LEHIGH VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "610-865-0311",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "AD1583803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9355611",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX PROVIDER #",
            "identifier": "3425983000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Associates of the Lehigh Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 22, 2014; 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.