Individual provider Active NPI

Alexander Philip Limjuco, M.D.

  • Otolaryngology Physician
  • Bethlehem, PA
National Provider Identifier
1679839922
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD465205 Issued in PA
Practice address
3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817
Phone
(610) 866-5555
Fax
(610) 866-3151
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME130957 FL
Otolaryngology Physician 207Y00000X 25MA10412000 NJ
Otolaryngology Physician 207Y00000X 26057 WV
Otolaryngology Physician 207Y00000X MD465205 PA Primary

Addresses

Primary practice location

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817

Mailing address

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

Other practice location 1

2851 Baglyos Cir Ste 201
Bethlehem, PA 18020-8038
Phone (610) 867-7134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171108001423 FL Practitioner - Otolaryngology 1951603588 Reassigns benefits to 1 organization
I20180906003102 PA Practitioner - Otolaryngology 1951603588 Reassigns benefits to 3 organizations
I20181210001295 NJ Practitioner - Otolaryngology 1951603588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Specialty Physician Associates, LLCGroup PAC ID 6204012016, 43 clinicians
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

2851 Baglyos Cir
Suite 201
Bethlehem, PA 18020-8038
Phone (610) 776-4512

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7808

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

3445 Highpointe Blvd
Bethlehem, PA 18017-7817
Phone (610) 776-4512

497 Bushkill Plaza LN
Wind Gap, PA 18091-9602
Phone (610) 776-4512

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

755 Memorial Pkwy
Suite 112
Phillipsburg, NJ 08865-2774
Phone (908) 847-8862

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

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

State licenses

LicenseStateTypeSpecialty
MD465205PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinus & Nasal Institute of Florida PA Otolaryngology CurrentSince Aug 1, 2017 Accepting new patients
Star Community Health, Inc CurrentSince Mar 30, 2019 Accepting new patients
Star Community Health, Inc Otolaryngology CurrentSince Mar 30, 2019 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 1, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 12, 2018 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 12, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 1, 2020 Accepting new patients
Specialty Physician Associates, LLC Otolaryngology CurrentSince Oct 1, 2018 Accepting new patients

Locations

550 94th Ave N
St Petersburg, FL 33702
Phone (727) 573-0074

755 Memorial Pkwy
Ste 112
Phillipsburg, NJ 08865
Phone (484) 526-7555

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

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

3445 High Point Blvd
Ste 400
Bethlehem, PA 18017
Phone (610) 824-5050

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

2851 Baglyos Cir
Ste 201
Bethlehem, PA 18020
Phone (610) 515-1590

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

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

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76651
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJEGBA

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1679839922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555",
            "fax_number": "610-866-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555",
            "fax_number": "610-866-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2851 Baglyos Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180208038",
            "country_code": "US",
            "telephone_number": "610-867-7134",
            "fax_number": "610-867-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMJUCO",
        "first_name": "ALEXANDER",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME130957",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA10412000",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "26057",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD465205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.