Organization Active NPI

Allentown Medical Associates

  • Internal Medicine Physician
  • Cream Ridge, NJ
National Provider Identifier
1659433357
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA47072 Issued in NJ
Legal business name
ALLENTOWN MEDICAL ASSOCIATES
Practice address
163 Burlington Path Rd
Cream Ridge Professional Center Unit L
Cream Ridge, NJ 08514-1622
Phone
(609) 758-1100
Fax
(609) 758-3188
NPI assigned
Dec 16, 2006
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Dr. Alicia Sue Peller, M.D.NPI 1548216617
Title
Coowner
Phone
(609) 758-1100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA47072 NJ Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MA47072 NJ

Addresses

Primary practice location

163 Burlington Path Rd
Cream Ridge Professional Center Unit L
Cream Ridge, NJ 08514-1622

Mailing address

163 Burlington Path Rd
Cream Ridge Professional Center Unit L
Cream Ridge, NJ 08514-1622
Phone (609) 758-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090522000281 NJ Part B Supplier - Clinic/Group Practice 7810046745 Receives reassigned benefits from 1 practitioner
Practice locations: Cream Ridge, NJ

National Provider Directory

National Provider Directory
Tax ID family
Allentown Medical Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

163 Burlington Path Rd
Ste L
Cream Ridge, NJ 08514
Phone (609) 758-1100

Practitioners & affiliated clinicians

Practitioners 2

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": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1659433357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BURLINGTON PATH RD",
            "address_2": "CREAM RIDGE PROFESSIONAL CENTER UNIT L",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085141622",
            "telephone_number": "609-758-1100",
            "fax_number": "609-758-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BURLINGTON PATH RD",
            "address_2": "CREAM RIDGE PROFESSIONAL CENTER UNIT L",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085141622",
            "telephone_number": "609-758-1100",
            "fax_number": "609-758-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "PELLER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "609-758-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA47072",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA47072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cream Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.