Individual provider Active NPI

Danielle Grace Elizabeth Pegg, PA-C

  • Medical Physician Assistant
  • Hazle Township, PA
National Provider Identifier
1760391999
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA068264 Issued in PA
Practice address
50 Moisey Dr
Hazle Township, PA 18202-9297
Phone
(570) 501-6450
NPI assigned
Sep 3, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA068264 PA Primary

Addresses

Primary practice location

50 Moisey Dr
Hazle Township, PA 18202-9297

Mailing address

909 Barn View LN
Breinigsville, PA 18031-1350
Phone (610) 730-7929

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1760391999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BARN VIEW LN",
            "city": "BREINIGSVILLE",
            "state": "PA",
            "postal_code": "180311350",
            "telephone_number": "610-730-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOISEY DR",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029297",
            "telephone_number": "570-501-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGG",
        "first_name": "DANIELLE",
        "middle_name": "GRACE ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA068264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.