Individual provider Active NPI

Kathleen Mary Pulice, DO

  • Obstetrics & Gynecology Physician
  • Allentown, PA
National Provider Identifier
1699396283
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS024124 Issued in PA
Practice address
1611 Pond Rd Ste 300
Allentown, PA 18104-2258
Phone
(610) 398-7700
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT019880 PA
Obstetrics & Gynecology Physician 207V00000X OS024124 PA Primary

Addresses

Primary practice location

1611 Pond Rd Ste 300
Allentown, PA 18104-2258

Mailing address

PO Box 1806
Allentown, PA 18105-1806

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8000

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
I20240927002560 PA Practitioner - Obstetrics/Gynecology 7719418995 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1611 Pond Rd
Suite 300
Allentown, PA 18104-2258
Phone (610) 398-9770

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT019880PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 16, 2024 Accepting new patients
Valley Health Partners Community Health Center Obstetrics & Gynecology Current Accepting new patients
Family Care Centers Inc CurrentSince Sep 16, 2024 Accepting new patients
Schuylkill Health System Medical Group, Inc. Obstetrics & Gynecology CurrentSince Sep 16, 2024 Accepting new patients
Family Care Centers Inc. Obstetrics & Gynecology CurrentSince Sep 16, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 16, 2024 Accepting new patients
Hazleton Professional Services Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 16, 2024 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

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

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1611 Pond Rd
Ste 300
Allentown, PA 18104
Phone (610) 398-7700

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

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

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

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

Interoperability endpoints

  • Direct secure messaging: kpulice304246@direct2.lvhn.org

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

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1699396283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POND RD STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042258",
            "telephone_number": "610-398-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULICE",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT019880",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS024124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.