Individual provider Active NPI

Manuja Joshi, M.D.

  • Internal Medicine Physician
  • Fogelsville, PA
National Provider Identifier
1679527345
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD428105 Issued in PA
Practice address
1431 Nursery St Ste 101a
Fogelsville, PA 18051-1612
Phone
(610) 336-8260
Fax
(610) 336-8269
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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 MD428105 PA Primary

Addresses

Primary practice location

1431 Nursery St Ste 101a
Fogelsville, PA 18051-1612

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-0617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060313000635 PA Practitioner - Internal Medicine 5395752570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Universal Rehabilitation and Fitness, Inc.Group PAC ID 5799741690, 16 clinicians

Practice addresses (Care Compare)

1431 Nursery St
101A LVPG Family Medicine
Fogelsville, PA 18051-1612
Phone (610) 395-1936

15 -17 Microlab Rd
Suite 101
Livingston, NJ 07039-1623

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428105PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jun 28, 2021 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Jun 4, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 28, 2021 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

1431 Nursery St
Ste 101A
Fogelsville, PA 18051
Phone (610) 336-8260

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

Interoperability endpoints

  • Direct secure messaging: mjoshi101615@direct2.lvhn.org

Organizations & group practices 8

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 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1679527345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-0617",
            "fax_number": "484-884-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NURSERY ST STE 101A",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511612",
            "telephone_number": "610-336-8260",
            "fax_number": "610-336-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "MANUJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD428105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

Verify at the official NPI Registry.