Individual provider Active NPI

Michele F Broskey

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1699233304
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021475 Issued in PA
Practice address
400 N 17TH St Ste 300
Allentown, PA 18104-5052
Phone
(610) 969-3500
Fax
(610) 969-3605
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00894500 NJ
Nurse Practitioner 363L00000X SP021475 PA
Family Nurse Practitioner 363LF0000X SP021475 PA Primary

Addresses

Primary practice location

400 N 17TH St Ste 300
Allentown, PA 18104-5052

Mailing address

1605 N Cedar Crest Blvd Ste 411
Allentown, PA 18104-2323
Phone (484) 330-1377

Other practice location 1

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 346-6000

Other identifiers 1

IdentifierTypeStateIssuer
SP021475OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190514002228 NJ Practitioner - Nurse Practitioner 8022351006 Reassigns benefits to 4 organizations
I20220615000148 PA Practitioner - Nurse Practitioner 8022351006 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 923-6890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00894500NJMDNurse Practitioner
SP021475PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Prevention Associates CurrentSince Jul 26, 2024 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Oct 25, 2025 Accepting new patients
Family Care Centers Inc CurrentSince Sep 11, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2023 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Jun 1, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 25, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 25, 2025 Accepting new patients
Family Care Centers Inc. CurrentSince Sep 11, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2023 Accepting new patients
Samaritan Healthcare & Hospice, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family CurrentSince Sep 11, 2023 Accepting new patients
Lehigh Valley Physician Group Nurse Practitioner Current Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince Jun 15, 2021 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

3906 Church Rd
#P
Mount Laurel, NJ 08054
Phone (856) 552-3261

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

99 Highway 37 W
Fl 5
Toms River, NJ 08755
Phone (732) 477-8988

550 Jessup Rd
West Deptford, NJ 08086
Phone (609) 922-4700

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

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

101 W 7th St
Ste 2A
Pennsburg, PA 18073
Phone (215) 257-4866

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1699233304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 411",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042323",
            "telephone_number": "484-330-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 17TH ST STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045052",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "856-346-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSKEY",
        "first_name": "MICHELE",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00894500",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP021475",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SP021475",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.