Active NPI
Sam S Weng, MD
- Internal Medicine Physician
- Bethlehem, PA
National Provider Identifier
1720038201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD035608L
- Practice address
- 940 N New St
Bethlehem, PA 18018-2756 - Phone
- (610) 868-9411
- Fax
- (484) 403-4013
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD035608L | PA | Primary |
Addresses
Primary practice location
940 N New St
Bethlehem, PA 18018-2756
Mailing address
1605 N Cedar Crest Blvd
Suite 110B
Allentown, PA 18104-2351
Phone (610) 973-1410
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140672 | Other | PA | HIGHMARK PA BLUE SHIELD |
| 112925959 | Other | PA | PALMETTO GBA MEDICARE |
| 00084735000001 | Medicaid | PA | |
| 01055104 | Other | PA | CAPITAL BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035608L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1720038201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 N CEDAR CREST BLVD",
"address_2": "SUITE 110B",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042351",
"telephone_number": "610-973-1410",
"fax_number": "610-973-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 N NEW ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182756",
"telephone_number": "610-868-9411",
"fax_number": "484-403-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENG",
"first_name": "SAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD035608L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PA BLUE SHIELD",
"identifier": "140672",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA MEDICARE",
"identifier": "112925959",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00084735000001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01055104",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.