Active NPI
Emaus Avenue Family Practice
- Family Medicine Physician
- Allentown, PA
National Provider Identifier
1952394918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- QW15076
- Legal business name
- EMAUS AVENUE FAMILY PRACTICE
- Practice address
- 1101 W Emaus Ave
Allentown, PA 18103-6676 - Phone
- (610) 797-2000
- Fax
- (610) 791-5814
- NPI assigned
- Aug 25, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruth E Frye, D.O.
- Title
- Physician Partner
- Phone
- (610) 797-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | QW15076 | PA | Primary |
Addresses
Primary practice location
1101 W Emaus Ave
Allentown, PA 18103-6676
Mailing address
1101 W Emaus Ave
Allentown, PA 18103-6676
Phone (610) 797-2000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010034098 | Other | PA | RAILROAD MEDICARE |
| 02278100 | Other | PA | CAPITOL BLUE CROSS |
| 4060281 | Other | PA | EPHN |
| 404523 | Other | PA | HIGHMARK BLUE SHIELD |
| 0097839001 | Other | PA | KEYSTONE EAST |
| 19455 | Other | PA | AETNA US HEALTHCARE |
| 204920 | Other | PA | HEALTH AMERICA |
National Provider Directory
National Provider DirectoryLocations
1101 W Emaus Ave
Allentown, PA 18103
Phone (610) 797-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1952394918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W EMAUS AVE",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036676",
"telephone_number": "610-797-2000",
"fax_number": "610-791-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W EMAUS AVE",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036676",
"telephone_number": "610-797-2000",
"fax_number": "610-791-5814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMAUS AVENUE FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-25",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "FRYE",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHYSICIAN PARTNER",
"authorized_official_telephone_number": "610-797-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "QW15076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010034098",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITOL BLUE CROSS",
"identifier": "02278100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPHN",
"identifier": "4060281",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "404523",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "0097839001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "19455",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "204920",
"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 Jun 15, 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.