Active NPI
Jonathan Bortz, DO
- Internal Medicine Physician
- Allentown, PA
National Provider Identifier
1922047968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS002640L
- Practice address
- 2895 Hamilton Blvd
Suite 101
Allentown, PA 18104-6172 - Phone
- (610) 336-8260
- Fax
- (610) 336-8269
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS002640L | PA | Primary |
Addresses
Primary practice location
2895 Hamilton Blvd
Suite 101
Allentown, PA 18104-6172
Mailing address
PO Box 1754
Allentown, PA 18105-1754
Phone (610) 798-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0040335000 | Other | PA | KEYSTONE EAST |
| 97409 | Other | PA | HIGHMARK BLUE SHIELD |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002640L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1922047968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1754",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181051754",
"telephone_number": "610-798-4500",
"fax_number": "610-798-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 HAMILTON BLVD",
"address_2": "SUITE 101",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046172",
"telephone_number": "610-336-8260",
"fax_number": "610-336-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORTZ",
"first_name": "JONATHAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS002640L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0040335000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "97409",
"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 Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.