Active NPI
Amanda Marie Pena
- Obstetrics & Gynecology Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD0485625
- Practice address
- 1245 S Cedar Crest Blvd Ste 201
Allentown, PA 18103-6258 - Phone
- (610) 402-4870
- NPI assigned
- Apr 7, 2020
- Last updated
- Jul 11, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD0485625 | PA | Primary |
Addresses
Primary practice location
1245 S Cedar Crest Blvd Ste 201
Allentown, PA 18103-6258
Mailing address
5 Richlee CT Apt 1S
Mineola, NY 11501-3625
Phone (718) 749-3498
Other practice location 1
550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Stony Brook, School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (484) 526-4789
185 Roseberry St
Farley BLDG. 2ND Floor
Phillipsburg, NJ 08865-1627
1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800
2403 Butler St
Easton, PA 18042-5302
Phone (484) 526-7474
306 S New St
Bethlehem, PA 18015-1652
306 S New Street
Bethlehem, PA 18015-1652
39 Roseberry St
Suite 2
Phillipsburg, NJ 08865-1627
Phone (908) 847-1037
4051 Freemansburg Ave
Easton, PA 18045-5596
Phone (484) 503-7474
6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960
6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131
755 Memorial Pkwy
Phillipsburg, NJ 08865-2771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0485625 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Star Community Health, Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Obstetrics & Gynecology | Current | Accepting new patients |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Warren Physician Group, PC | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Star Community Health, Inc | Current | Accepting new patients | |
| St Luke's Hospital | Past | Accepting new patients | |
| St Lukes Hospital-Anderson Campus | Past | Accepting new patients |
Locations
185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619
755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722
1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870
511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- apena327134@direct-sluhn.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Gynecologic Oncology Physician
- Phillipsburg, NJ
- NPI 1679847396
-
- General Practice Physician
- Bethlehem, PA
- NPI 1033686159
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Obstetrics & Gynecology
-
dba LVPG Family Medicine - Frackville
- Family Medicine Physician
- Frackville, PA
- NPI 1912769373
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Maternal & Fetal Medicine Physician
- Fountain Hill, PA
- NPI 1003867623
-
- Federally Qualified Health Center (FQHC)
- Bethlehem, PA
- NPI 1942832720
-
dba St. Luke's Warren Ophthalmology
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
-
dba St. Luke's Center for Urology Warren
- Urology Physician
- Phillipsburg, NJ
- NPI 1619618030
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
dba St. Luke's Partial Hospitalization Program
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Phillipsburg, NJ
- NPI 1760488266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1770112104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 RICHLEE CT APT 1S",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013625",
"telephone_number": "718-749-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 S CEDAR CREST BLVD STE 201",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036258",
"telephone_number": "610-402-4870"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENA",
"first_name": "AMANDA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD0485625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.