NPIMap

Individual provider Active NPI

Edward D Manzella, MD

  • Internal Medicine Physician
  • Jim Thorpe, PA
National Provider Identifier
1962487264
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD047252L Issued in PA
Practice address
1353 State Route 903
Jim Thorpe, PA 18229-2734
Phone
(570) 325-8393
Fax
(570) 325-8029
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD047252L PA Primary

Addresses

Primary practice location

1353 State Route 903
Jim Thorpe, PA 18229-2734

Mailing address

1605 N Cedar Crest Blvd Ste 110B
Allentown, PA 18104-2351
Phone (610) 973-1410

Other practice location 1

241 Delaware Ave
Palmerton, PA 18071-1812
Phone (610) 826-2909

Other identifiers 17

IdentifierTypeStateIssuer
2420346000OtherPERSONAL CHOICE BLUE SHIE
03277901OtherCAPITAL BLUE CROSS
1753980OtherFEDERAL BLUE SHIELD
810651818OtherCOVENTRY HEALTH
110101OtherAMERIHEALTH ADMIN
810651818OtherTRICARE REGION I
03277800OtherCAPITAL BLUE CROSS GROUP
P00387554OtherPAPALMETTO GBA GROUP
001442722MedicaidPA
20031254OtherAMERIHEALTH MERCY
810651818OtherSTERLING OPTION I GROUP
1753980OtherAMERIHEALTH ADMIN GROUP
010654900OtherBLACK LUNG
110101OtherPA BLUE SHIELD
6002088OtherGHI
5389099OtherAETNA
0274540000OtherPERSONAL CHOICE BLUE SHIE

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
I20050311000106 PA Practitioner - Internal MedicinePractitioner - Interventional Pain Management 9032163126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Interventional Pain Management
Education
Other, 1986
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)

1353 State Route 903
Jim Thorpe, PA 18229-2734
Phone (570) 325-8393

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

241 Delaware Ave
Palmerton, PA 18071-1812
Phone (610) 826-2909

281 N 12TH St
LVPG Vascular Surgery
Lehighton, PA 18235-1101
Phone (610) 402-9400

281 N 12TH St B
Lehighton, PA 18235-1101
Phone (610) 377-7793

281 N 12TH St F
LVPG Obstetrics and Gynecology
Lehighton, PA 18235-1101
Phone (610) 377-5959

Hospital & facility affiliations

  • The Care Team Hospice Hospice, Bethlehem, PA, CCN 391722
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince May 1, 2023 Accepting new patients
Lehigh Valley Physician Group Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1353 State Route 903
Jim Thorpe, PA 18229
Phone (570) 325-8367

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

241 Delaware Ave
Palmerton, PA 18071
Phone (610) 824-6339

Interoperability endpoints

  • Direct secure messaging: edward.manzellamd.p1@direct.secureehr.nextgenshare.com

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1962487264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 110B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042351",
            "telephone_number": "610-973-1410",
            "fax_number": "610-973-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 STATE ROUTE 903",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182292734",
            "telephone_number": "570-325-8393",
            "fax_number": "570-325-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Palmerton",
            "state": "PA",
            "postal_code": "180711812",
            "country_code": "US",
            "telephone_number": "610-826-2909",
            "fax_number": "610-826-7659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZELLA",
        "first_name": "EDWARD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD047252L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE BLUE SHIE",
            "identifier": "2420346000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03277901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "1753980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "810651818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN",
            "identifier": "110101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE REGION I",
            "identifier": "810651818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "03277800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP",
            "identifier": "P00387554",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001442722",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20031254",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION I GROUP",
            "identifier": "810651818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN GROUP",
            "identifier": "1753980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "010654900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "110101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6002088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5389099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE BLUE SHIE",
            "identifier": "0274540000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jim Thorpe, PA

Sources for this page

Verify at the official NPI Registry.