Active NPI
Alphonse Maffeo, MD
- Anesthesiology Physician
- Allentown, PA
National Provider Identifier
1780673335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD019125E
- Practice address
- 4905 W Tilghman St
Suite 250
Allentown, PA 18104-9130 - Phone
- (484) 866-9583
- Fax
- (610) 366-1147
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD019125E | PA | Primary |
Addresses
Primary practice location
4905 W Tilghman St
Suite 250
Allentown, PA 18104-9130
Mailing address
4905 W Tilghman St
Suite 250
Allentown, PA 18104-9130
Phone (484) 866-9583
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007170420001 | Medicaid | PA | |
| 066538 | Other | PA | HIGHMARK |
| 1004241 | Other | PA | AMERIHEALTH MERCY |
| 0066538 | Other | PA | KHP CENTRAL |
| 00717042 | Other | PA | GATEWAY |
| 0000000130118 | Other | PA | THREE RIVERS |
| 1004241 | Other | PA | KEYSTONE MERCY |
| 0040554000 | Other | PA | INDEP. BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1780673335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 W TILGHMAN ST",
"address_2": "SUITE 250",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049130",
"telephone_number": "484-866-9583",
"fax_number": "610-366-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 W TILGHMAN ST",
"address_2": "SUITE 250",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049130",
"telephone_number": "484-866-9583",
"fax_number": "610-366-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFFEO",
"first_name": "ALPHONSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD019125E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007170420001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "066538",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "1004241",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHP CENTRAL",
"identifier": "0066538",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "00717042",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "0000000130118",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1004241",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEP. BLUE CROSS",
"identifier": "0040554000",
"state": "PA"
}
],
"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 Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.