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ST. LUKE'S DEVELOPMENTAL PEDIATRICS
NPI 1417478413
Pediatrics - Developmental - Behavioral Pediatrics in Allentown, PA

Active since June 29, 2017CLIA 39D2101322 · Waiver
501 CETRONIA RD STE 115, ALLENTOWN, PA 18104(484) 426-2542 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About St. Luke's Developmental Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. LUKE'S DEVELOPMENTAL PEDIATRICS (NPI 1417478413) is a healthcare organization registered as a developmental - behavioral pediatrics in Allentown, Pennsylvania and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Dean W Evans, President, as its authorized official.

NPPES Registry Identity

NPI1417478413
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameST LUKE'S PHYSICIAN GROUP INC
Location Address501 CETRONIA RD STE 115Allentown, PA 18104-9569
Mailing Address501 Cetronia Rd Ste 115Allentown, PA 18104-9569 · (484) 426-2542
Phone(484) 426-2542
Organization SubpartNo
Authorized OfficialDean W EvansPresident · (484) 526-4991
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1417478413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
501 CETRONIA RD STE 115, Allentown, PA 18104
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Other Names 1

Doing Business AsSt. Luke's Developmental Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2101322

St Luke Allentown Pediatrics · Allentown, PA
Active · expires Aug 31, 2027
CLIA Number39D2101322
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. Elyse K. Jones
Laboratory Phone(484) 426-2468
Laboratory LocationSt Luke Allentown Pediatrics501 Cetronia Road Suite 115, Allentown, PA 18104
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN ELIZABETH BRYANT SUTTER CRNP
Nurse Practitioner
501 CETRONIA RD STE 115
ALLENTOWN, PA 18104
Lehigh County (484) 426-2468
DR. SARAH MALIK MD
Pediatrics
501 CETRONIA RD STE 115
ALLENTOWN, PA 18104
Lehigh County (484) 426-2468
OLUFUNKE OLADEJO
Pediatrics
501 CETRONIA RD STE 115
ALLENTOWN, PA 18104
Lehigh County (212) 423-6262
ELYSE KRISTINE JONES M.D.
Pediatrics
501 CETRONIA RD STE 115
ALLENTOWN, PA 18104
Lehigh County (484) 658-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Luke's Physician Group Inc's NPI number?

The NPI number for St Luke's Physician Group Inc is 1417478413. It was assigned to this organization in the NPPES registry on June 29, 2017. The provider is doing business as St. Luke's Developmental Pediatrics.

Where is St Luke's Physician Group Inc located?

St Luke's Physician Group Inc is located at 501 Cetronia Rd Ste 115, Allentown, PA 18104. The listed phone number is (484) 426-2542.

What is St Luke's Physician Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Does St Luke's Physician Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2101322) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Luke's Physician Group Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.