Individual provider Active NPI

Anna M Comayagua, APN

  • Adult Health Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1710529151
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP022522 Issued in PA
Practice address
1240 S Cedar Crest Blvd Ste 401
Allentown, PA 18103-6218
Phone
(610) 402-7880
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00970200 NJ
Adult Health Nurse Practitioner 363LA2200X SP022522 PA Primary

Addresses

Primary practice location

1240 S Cedar Crest Blvd Ste 401
Allentown, PA 18103-6218

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

1101 Northampton St
Easton, PA 18042-4152
Phone (484) 544-3113

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
I20200403000042 NJ Practitioner - Nurse Practitioner 4880022318 Reassigns benefits to 5 organizations
I20220228001963 PA Practitioner - Nurse Practitioner 4880022318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians
Vita Medical Associates, PCGroup PAC ID 3779554407, 4 clinicians
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356

306 S New St
Suite 201
Bethlehem, PA 18015-1652
Phone (610) 866-0113

465 Mount Prospect Ave
Newark, NJ 07104-2907
Phone (609) 890-1050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022522PAMDAdult Health Nurse Practitioner
26NJ00970200NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Dec 6, 2021 Accepting new patients
Vita Medical Associates, PC CurrentSince Jul 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 5, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 5, 2024 Accepting new patients
Center for Hope Hospice, Inc CurrentSince Jul 29, 2021 Accepting new patients
Azz Medical Associates PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1440 Pennington Rd
Ste 1
Ewing, NJ 08618
Phone (609) 422-7928

465 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 483-3640

1900 Raritan Rd
Scotch Plains, NJ 07076
Phone (908) 288-9138

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

1240 S Cedar Crest Blvd
Ste 305
Allentown, PA 18103
Phone (610) 402-9050

1240 S Cedar Crest Blvd
Ste 401
Allentown, PA 18103
Phone (610) 402-3650

306 S New St
Ste 201
Bethlehem, PA 18015
Phone (610) 866-0113

1210 E 4th St
Bethlehem, PA 18015
Phone (484) 408-0755

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

1101 Northampton St
Easton, PA 18042
Phone (484) 544-3113

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1710529151",
    "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": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S CEDAR CREST BLVD STE 401",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036218",
            "telephone_number": "610-402-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180424152",
            "country_code": "US",
            "telephone_number": "484-544-3113",
            "fax_number": "610-841-8457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMAYAGUA",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00970200",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP022522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.