Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1245204247
Stacey FornarottoPA
Active
NPI Number1245204247
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant, Medical
Provider Details
NPI1245204247
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-02-15
Last Updated2013-09-09
Mailing AddressPo Box 1754
Allentown, PA 18105-1754
United States
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Primary Practice Address2649 Schoenersville Rd, Ste 201
Bethlehem, PA 18017-7326
United States
Phone: (610) 868-6880 | Fax: (610) 868-5333
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363AM0700X – Physician Assistant, MedicalNJMP20000
Yes363AM0700X – Physician Assistant, MedicalPAMA002023L
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About NPI 1245204247

Stacey Fornarotto PA is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1245204247. The primary specialty listed is Physician Assistant, Medical. The provider is located in Bethlehem, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1245204247?

NPI 1245204247 belongs to Stacey Fornarotto PA, a Physician Assistant, Medical in Bethlehem, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1245204247 active?

The current status of NPI 1245204247 in the NPPES registry is Active. The record was last updated on 2013-09-09.

What specialty is NPI 1245204247?

NPI 1245204247 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1245204247?

You can verify NPI 1245204247 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1245204247?

The primary practice address on file for NPI 1245204247 is 2649 Schoenersville Rd, Bethlehem, PA 18017-7326. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1245204247 issued?

NPI 1245204247 was first issued (enumerated) on 2006-02-15. The NPPES record was last updated on 2013-09-09.

Practice Location Map

Stacey Fornarotto is located at 2649 Schoenersville Rd, Bethlehem, PA. Use the map below to find directions or verify the practice location.

📍 2649 Schoenersville Rd, Bethlehem, PA 18017-7326  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Stacey Fornarotto. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1245204247. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant, MedicalMP20000NJ
Physician Assistant, MedicalMA002023LPA
Data Verified from CMS NPPES Last synced: 2026-07-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162