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Organization Active NPI

Lehigh Valley Hospital Hazleton

  • Rehabilitation Hospital Unit
  • Hazleton, PA
National Provider Identifier
1780748152
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
083701 Issued in PA
Legal business name
LEHIGH VALLEY HOSPITAL HAZLETON
Practice address
700 E Broad St
Hazleton, PA 18201-6835
Phone
(570) 501-4000
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Robert Thomas
Title
Chief Accounting Officer
Phone
(484) 884-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 083701 PA Primary

Addresses

Primary practice location

700 E Broad St
Hazleton, PA 18201-6835

Mailing address

700 E Broad St
Hazleton, PA 18201-6835
Phone (570) 501-4000

Other names 1

  • Gunderson Rehab Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000025 PA Part A Provider - Hospital 6204855604 Practice locations: Hazleton, PA

Hospital certification: CCN 39T185

Legal name
LEHIGH VALLEY HOSPITAL HAZLETON
Organization structure
CorporationNon-profit
Incorporated
Jul 31, 1985 in PA
Enrollment address
700 E Broad St
Hazleton, PA 18201-6835
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Gunderson Rehabilitation CenterCCN 39T185
Ownership
Non-profit
Certified
Jan 1, 2000

National Provider Directory

National Provider Directory
Tax ID family
David Robb MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Jefferson University Organization, Philadelphia, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2025 50%
Jennifer Moisey Individual Corporate OfficerBoard Member Jul 1, 2025
Robert Begliomini Individual Corporate OfficerBoard Member Jul 1, 2025
Jefferson Health Corporation Organization, Philadelphia, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2025 50%
Antonette Fritz Individual Corporate DirectorBoard of Directors Jan 1, 2016
Allison Miller Individual W-2 Managing EmployeeSr Clin Rev Apps and Support Analys Sep 1, 2022
Joseph Lettiere Individual Corporate OfficerBoard Member Jul 1, 2025
Robert Lee Thomas Individual W-2 Managing EmployeeChief Accounting Officer Jan 1, 2025
Mark J Lobitz Individual Corporate DirectorBoard Member Jan 1, 2010
Vicky Perez Individual Corporate OfficerBoard Member Jul 1, 2025
Tammy Torres Individual Corporate OfficerBoard Member Jul 1, 2025
Mark Imbriaco Individual Corporate OfficerBoard Member Jul 1, 2025
Terrence Purcell Individual Corporate OfficerPresident Aug 1, 2021
Stephen Molitoris Individual W-2 Managing EmployeeVP, Reimbursement & Revenue Jan 1, 2019
Elizabeth Wright Individual Corporate OfficerBoard Member Jul 1, 2025
Barbara Ann Forte Individual Corporate OfficerAsst Secretary-Board Jan 1, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1780748152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY HOSPITAL HAZLETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "484-884-0901"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "PA",
            "license": "083701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gunderson Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gunderson Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.