Individual provider Active NPI

Afanwingong Che Lafon, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1730565250
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP026262 Issued in PA
Practice address
1005 Brookside Rd Ste 240
Allentown, PA 18106-9023
Phone
(610) 351-0419
Fax
(484) 350-3749
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP016658 PA
Primary Care Nurse Practitioner 363LP2300X SP016658 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP026262 PA Primary

Addresses

Primary practice location

1005 Brookside Rd Ste 240
Allentown, PA 18106-9023

Mailing address

1005 Brookside Rd Ste 240
Allentown, PA 18106-9023
Phone (610) 572-9659

Other practice location 1

1627 Chew St
Ground Floor
Allentown, PA 18102-3648
Phone (610) 969-3390

Other practice location 2

206 S Kathryn St
Easton, PA 18045-2667
Phone (732) 715-7779

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180613001726 PA Practitioner - Nurse Practitioner 3476857889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meribah Clinic LLCGroup PAC ID 1850794298, 2 clinicians

Practice addresses (Care Compare)

1005 Brookside Rd
Suite 240
Allentown, PA 18106-9023
Phone (610) 572-5659

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP026262PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meribah Clinic LLC Psychiatric/Mental Health CurrentSince Oct 14, 2022 Accepting new patients
Meditelecare of Pennsylvania LLC CurrentSince Apr 16, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 18, 2018 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 18, 2018 Accepting new patients

Locations

1005 Brookside Rd
Ste 240
Allentown, PA 18106
Phone (610) 351-0419

1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388

2100 Mack Blvd
Fl 4
Allentown, PA 18103

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

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

Organizations & group practices 6

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 6

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1730565250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROOKSIDE RD STE 240",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069023",
            "telephone_number": "610-572-9659",
            "fax_number": "484-350-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROOKSIDE RD STE 240",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069023",
            "telephone_number": "610-351-0419",
            "fax_number": "484-350-3749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 Chew St",
            "address_2": "Ground Floor",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023648",
            "country_code": "US",
            "telephone_number": "610-969-3390",
            "fax_number": "610-969-3393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 S Kathryn St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180452667",
            "country_code": "US",
            "telephone_number": "732-715-7779",
            "fax_number": "732-715-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFON",
        "first_name": "AFANWINGONG",
        "middle_name": "CHE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP016658",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP016658",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.