NPIMap

Organization Active NPI

Lehigh Valley Physician Group

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
National Provider Identifier
1780155689
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Practice address
1210 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6235
Phone
(610) 402-3888
Fax
(610) 530-9372
NPI assigned
Dec 17, 2018
Organization subpart
Yes
Parent organization
LEHIGH PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Rebecca Demjan
Title
Enrollment Liaison
Phone
(484) 884-0684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

1210 S Cedar Crest Blvd Ste 2400
Allentown, PA 18103-6235

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other names 4

  • LVPG Developmental Pediatrics Doing business as
  • LVPG Developmental Pediatrics - Hamilton Blvd Doing business as
  • LVPG Developmental Pediatrics - Pond Rd Doing business as
  • LVPG Developmental Pediatrics - West End Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000335 PA Part B Supplier - Clinic/Group Practice 3072425123 Receives reassigned benefits from 3,502 practitioners

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
LVPG Psychiatry168 organizations share this tax ID, including this one
Part of
LVPG Psychiatry

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (610) 395-4300

Practitioners & affiliated clinicians

Practitioners 3,501

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,501

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1780155689",
    "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",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S CEDAR CREST BLVD STE 2400",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036235",
            "telephone_number": "610-402-3888",
            "fax_number": "610-530-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH PHYSICIAN GROUP",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "DEMJAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ENROLLMENT LIAISON",
        "authorized_official_telephone_number": "484-884-0684"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LVPG Developmental Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LVPG Developmental Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LVPG Developmental Pediatrics - Hamilton Blvd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LVPG Developmental Pediatrics - Pond Rd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LVPG Developmental Pediatrics - West End",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.