Individual provider Active NPI

Laura Marie Martucci, CRNP

  • Acute Care Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1750715397
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP013147 Issued in PA
Practice address
1250 S Cedar Crest Blvd
Suite 205
Allentown, PA 18103-6224
Phone
(610) 439-8856
NPI assigned
Aug 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP013147 PA Primary

Addresses

Primary practice location

1250 S Cedar Crest Blvd
Suite 205
Allentown, PA 18103-6224

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Other names 1

  • Laura Marie Mallard Former name

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
I20130916000175 PA Practitioner - Nurse Practitioner 1951545847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
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)

1250 S Cedar Crest Blvd
300 LVPG Cardiology
Allentown, PA 18103-6381
Phone (610) 402-3110

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013147PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 16, 2013 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 16, 2013 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Family Care Centers Inc. Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-9116

1250 S Cedar Crest Blvd
Ste 300
Allentown, PA 18103
Phone (610) 402-8275

2100 Mack Blvd
#2
Allentown, PA 18103
Phone (484) 884-0632

1250 S Cedar Crest Blvd
Ste 405
Allentown, PA 18103
Phone (610) 402-8420

400 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 422-1290

1107 Grosser Rd
Ste 305
Gilbertsville, PA 19525

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

2226 Blakeslee Boulevard Dr E
#200
Lehighton, PA 18235
Phone (484) 884-1007

300 Lackawanna Ave
#200
Scranton, PA 18503

600 Commerce Blvd
#2
Stroudsburg, PA 18360

Interoperability endpoints

  • Direct secure messaging: lmartucci12042@direct2.lvhn.org

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 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": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1750715397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CEDAR CREST BLVD",
            "address_2": "SUITE 205",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036224",
            "telephone_number": "610-439-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUCCI",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-31",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP013147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MALLARD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.