NPIMap

Individual provider Active NPI

Joselyn Reyes Bahamonde, M.D.

  • Nephrology Physician
  • Easton, PA
National Provider Identifier
1659762193
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD474307 Issued in PA
Practice address
30 Community Dr
Easton, PA 18045-2669
Phone
(610) 252-6950
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 292945 NY
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X MD474307 PA Primary

Addresses

Primary practice location

30 Community Dr
Easton, PA 18045-2669

Mailing address

30 Community Dr
Easton, PA 18045-2669
Phone (610) 252-6950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200828001716 NY Practitioner - Nephrology 8729324827 Reassigns benefits to 1 organization
I20210804000488 PA Practitioner - Nephrology 8729324827 Reassigns benefits to 2 organizations
I20220125000833 NJ Practitioner - Nephrology 8729324827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

834 Eaton Ave
301 St Lukes Nephrology Associates
Bethlehem, PA 18018-1832
Phone (484) 526-7780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2021 Accepting new patients
Gslpg, Inc CurrentSince Jul 16, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
New York University CurrentSince Sep 1, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 17, 2021 Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2021 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
New York University CurrentSince Sep 1, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Nov 17, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

30 Community Dr
Easton, PA 18045
Phone (610) 252-6950

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

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: joselyn.reyesbahamonde@slpg.direct-sluhn.org

Organizations & group practices 10

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 11

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1659762193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452669",
            "telephone_number": "610-252-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMUNITY DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452669",
            "telephone_number": "610-252-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES BAHAMONDE",
        "first_name": "JOSELYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "292945",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD474307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.