Active NPI
Maxwell Newby
- Pediatric Otolaryngology Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- MD481764
- Practice address
- 1210 S Cedar Crest Blvd Ste 1100
Allentown, PA 18103-6241 - Phone
- (610) 402-7995
- NPI assigned
- Mar 17, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Otolaryngology Physician | 207YP0228X | MD481764 | PA | Primary |
Addresses
Primary practice location
1210 S Cedar Crest Blvd Ste 1100
Allentown, PA 18103-6241
Mailing address
PO Box 537
Seattle, WA 98111-0537
Phone (206) 987-2105
Other practice location 1
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 293-2463
Other practice location 2
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-2105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients | |
| Lehigh Valley Hospital | Past | Accepting new patients |
Locations
1210 S Cedar Crest Blvd
Ste 1100
Allentown, PA 18103
Phone (610) 402-7999
1210 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 402-7999
2100 Mack Blvd
Fl 4
Allentown, PA 18103
Interoperability endpoints
- mnewby827036@direct2.lvhn.org
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 and National Provider Directory roles.
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-
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- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
- Internal Medicine Physician
- Easton, PA
- NPI 1962174201
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1912448317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 537",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981110537",
"telephone_number": "206-987-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S CEDAR CREST BLVD STE 1100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036241",
"telephone_number": "610-402-7995"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265061200",
"country_code": "US",
"telephone_number": "304-293-2463",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Sand Point Way NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981053901",
"country_code": "US",
"telephone_number": "206-987-2105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWBY",
"first_name": "MAXWELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-17",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "PA",
"license": "MD481764",
"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 Sep 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.