NPIMap

Individual provider Active NPI

Maureen C. Persin, DO

  • Internal Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1659485704
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008314L Issued in PA
Practice address
217 W Broad St
Bethlehem, PA 18018-5517
Phone
(610) 866-0466
Fax
(610) 866-1405
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS008314L PA Primary

Addresses

Primary practice location

217 W Broad St
Bethlehem, PA 18018-5517

Mailing address

217 W Broad St
Bethlehem, PA 18018-5517
Phone (610) 866-0466

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
I20040107000138 PA Practitioner - Internal Medicine 1355240599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians

Practice addresses (Care Compare)

217 W Broad St
Bethlehem, PA 18018-5517
Phone (610) 866-0466

313 S Walnut St
Suite 1
Bath, PA 18014-1024
Phone (484) 425-0297

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Allentown, PA, CCN 397533
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen C. Persin DO PC Internal Medicine CurrentSince Apr 3, 2003 Accepting new patients

Locations

217 W Broad St
Bethlehem, PA 18018
Phone (610) 866-0466

Interoperability endpoints

  • Direct secure messaging: mpersin8410@direct2.lvhn.org
  • FHIR API: https://api.platform.athenahealth.com/2434/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1659485704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185517",
            "telephone_number": "610-866-0466",
            "fax_number": "610-866-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185517",
            "telephone_number": "610-866-0466",
            "fax_number": "610-866-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSIN",
        "first_name": "MAUREEN",
        "middle_name": "C.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008314L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.