Unknown Individual – Allergy & Immunology Physician, NPI 1164422754

Unknown Individual is a healthcare provider. based in Allentown, Pennsylvania. specializing in Allergy & Immunology Physician. They hold a License No. MD019041E (PA). The NPI Number for Unknown Individual is 1164422754

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164422754
Phone
(610) 439-8171
Address
1251 S CEDAR CREST BLVD
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1970 (56 years ago)
PAC ID
6608889522
Professional Enrollment ID
I20060719000200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    SUITE 107C

    ALLENTOWN, PA 181036205

    Phone: (610) 439-8171

    Fax: (610) 439-8170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18103)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Allergy & Immunology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ALLERGY/IMMUNOLOGYPA94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration4339
ALLERGY/IMMUNOLOGYPA95117Injection of incremental dosages of allergen, 2 or more injections2774122

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1164422754.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Allergy & Immunology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Allentown, Pennsylvania in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

KATHLEEN O VERVERELI (MD)

Allergy & Immunology Physician
10th Planet Jiu Jitsu Allentown, 269, Cetronia Road, Parkway Manor, Allentown, Lehigh County, Pennsylvania, 18104, United States
NPI: 1427007616

WILLIAM A. TUFFIASH, MD, P.C.

Allergy & Immunology Physician
South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States
NPI: 1083628390

DR. ROBERT MARC ZEMBLE (M.D.)

Allergy & Immunology (Internal Medicine) Physician
605, North Cedar Crest Boulevard, Hilltown, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States
NPI: 1124224027

MIAE OH (M.D.)

Allergy & Immunology Physician
1728 W JONATHAN ST STE 100
NPI: 1740455013

NINA M POLIAK (M.D.)

Pediatrics Physician
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
NPI: 1033445614

DR. HAOLI JIN (M.D.)

Allergy & Immunology Physician
5000 COX RD
NPI: 1700182300

ULYANA TRYTKO (M.D.)

Allergy & Immunology (Internal Medicine) Physician
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
NPI: 1831648344

MEGAN ELIZABETH MCCARTY (M.D.)

Allergy & Immunology (Internal Medicine) Physician
1605 N CEDAR CREST BLVD STE 605
NPI: 1568953206
2310 Highland Ave
NPI: 1366082554