Individual provider Active NPI

Patti S. Connolly, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1992799985
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003385L Issued in PA
Practice address
250 Cetronia Road
Suite 303
Allentown, PA 18104-9168
Phone
(610) 973-6200
Fax
(610) 973-6546
NPI assigned
Sep 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003385L PA Primary
Medical Physician Assistant 363AM0700X MA003385L PA
Surgical Physician Assistant 363AS0400X MA003385L PA

Addresses

Primary practice location

250 Cetronia Road
Suite 303
Allentown, PA 18104-9168

Mailing address

PO Box 848269
Boston, MA 02284-8269
Phone (610) 973-1700

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (484) 862-3232

Other identifiers 2

IdentifierTypeStateIssuer
03159201OtherPABLUE CROSS
970016803OtherPARAILROAD MEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000558 PA Practitioner - Physician Assistant 3779626486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, 2,775 clinicians
Orthopaedic Associates of AllentownGroup PAC ID 7214841170, 43 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2045 Westgate Dr
Suite 101 Westgate
Bethlehem, PA 18017-7480
Phone (610) 973-6200

250 Cetronia Rd
Suite 303
Allentown, PA 18104-9168
Phone (610) 973-6200

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 13, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 13, 2025 Accepting new patients
Orthopaedic Associates of Allentown CurrentSince Dec 7, 2000 Accepting new patients
Orthopaedic Associates of Allentown Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

1243 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone (610) 360-0136

1627 Chew St
#7017
Allentown, PA 18102

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

250 Cetronia Rd
Ste 303
Allentown, PA 18104

1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (570) 386-6900

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 10

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1992799985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848269",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848269",
            "telephone_number": "610-973-1700",
            "fax_number": "610-973-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CETRONIA ROAD",
            "address_2": "SUITE 303",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049168",
            "telephone_number": "610-973-6200",
            "fax_number": "610-973-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "484-862-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "PATTI",
        "middle_name": "S.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003385L",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003385L",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA003385L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "03159201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970016803",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.