NPIMap

Organization Active NPI

Lehigh Valley Physician Group

Doing business as LVPG ExpressCARE - Bangor

  • Emergency Medicine Physician
  • Pen Argyl, PA
National Provider Identifier
1942630827
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
LEHIGH VALLEY PHYSICIAN GROUP
Doing business as
LVPG ExpressCARE - Bangor
Practice address
1337 Blue Valley Dr
Ste 8
Pen Argyl, PA 18072-1815
Phone
(610) 654-1200
Fax
(610) 654-1201
NPI assigned
Nov 14, 2013
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LEHIGH VALLEY PHYSICIAN GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
John Berzinsky
Title
VP Cfo
Phone
(484) 884-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1337 Blue Valley Dr
Ste 8
Pen Argyl, PA 18072-1815

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other names 1

  • LVPG ExpressCARE - Bangor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000335 PA Part B Supplier - Clinic/Group Practice 3072425123 Receives reassigned benefits from 3,502 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Lehigh Vly Phy GP

Locations

2100 Mack Blvd
#2
Allentown, PA 18103
Phone (484) 884-0632

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1942630827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 BLUE VALLEY DR",
            "address_2": "STE 8",
            "city": "PEN ARGYL",
            "state": "PA",
            "postal_code": "180721815",
            "telephone_number": "610-654-1200",
            "fax_number": "610-654-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEHIGH VALLEY PHYSICIAN GROUP",
        "enumeration_date": "2013-11-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "BERZINSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "484-884-4500"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LVPG ExpressCARE - Bangor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pen Argyl, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.