NPIMap

Individual provider Active NPI

Nicole R Budner, DO

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1891813556
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013474 Issued in PA
Practice address
1243 S Cedar Crest Blvd Ste 2200
Allentown, PA 18103-6268
Phone
(610) 402-5000
NPI assigned
Mar 27, 2007
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013474 PA Primary

Addresses

Primary practice location

1243 S Cedar Crest Blvd Ste 2200
Allentown, PA 18103-6268

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

4520 Park View Dr
Schnecksville, PA 18078-2552
Phone (610) 799-4241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000027 PA Practitioner - Family Practice 6800996802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

4520 Park View Dr
Schnecksville, PA 18078-2552
Phone (610) 799-4241

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS013474PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince May 18, 2009 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince May 18, 2009 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Medical Associates of the Lehigh Valley PC Past Accepting new patients

Locations

1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103
Phone (610) 402-2500

1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500

2100 Mack Blvd
Fl 4
Allentown, PA 18103

36 S 17th St
Allentown, PA 18104
Phone (610) 433-8615

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

4520 Park View Dr
Schnecksville, PA 18078
Phone (610) 799-4241

Interoperability endpoints

  • Direct secure messaging: nicole.sully.p1@direct.secureehr.nextgenshare.com
  • Direct secure messaging: nsully7843@direct2.lvhn.org

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
VHP - Family Health CenterAllentown, PA, CCN 731927 Federally qualified health center Corporate Director Jul 1, 2021
VHP- Children's Clinic at SheridanAllentown, PA, CCN 731923 Federally qualified health center Corporate Director Jul 1, 2021
VHP-Lehigh Valley Physicians PracticeAllentown, PA, CCN 731929 Federally qualified health center Corporate Director Jul 1, 2020
VHP- Centro de SaludAllentown, PA, CCN 731933 Federally qualified health center Corporate Director Jul 1, 2021
VHP- Community Health and Wellness CenterAllentown, PA, CCN 731941 Federally qualified health center Corporate Director Jul 1, 2021
VHP- Center for Women's MedicineAllentown, PA, CCN 731949 Federally qualified health center Corporate Director Jul 1, 2021
VHP- Children's ClinicAllentown, PA, CCN 731943 Federally qualified health center Corporate Director Jul 1, 2021
VHP Community Smiles at 6TH StreetAllentown, PA, CCN 731985 Federally qualified health center Corporate Director Jul 1, 2020
Children's Clinic at HaysAllentown, PA, CCN 731035 Federally qualified health center Corporate Director Jul 1, 2020
VHP Community Vision Center at 6TH StreetAllentown, PA, CCN 731007 Federally qualified health center Corporate Director Jul 1, 2020
VHP Community Smiles -Dental UnitAllentown, PA, CCN 731051 Federally qualified health center Corporate Director Jul 1, 2020
VHP Family Health Center at 6TH StAllentown, PA, CCN D31000 Federally qualified health center Corporate Director Jul 1, 2020
VHP Center of HopeAllentown, PA, CCN D31021 Federally qualified health center Corporate Director Jul 1, 2020

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1891813556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S CEDAR CREST BLVD STE 2200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036268",
            "telephone_number": "610-402-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 Park View Dr",
            "address_purpose": "LOCATION",
            "city": "Schnecksville",
            "state": "PA",
            "postal_code": "180782552",
            "country_code": "US",
            "telephone_number": "610-799-4241",
            "fax_number": "484-403-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDNER",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.