Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel A Pedersen, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790066108

Dr. Daniel A Pedersen, DO is a Family Practice in Pottsville, Pennsylvania. Graduated from Rowan University School of Osteopathic Medicine in 2011, 15 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
15
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
NJ, PA
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

200 Schuylkill Medical Plz
Pottsville, PA 17901-3660
Phone: (570) 621-9270
Fax: (570) 621-9271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1450e Chestnut Ave 3d, Vineland, NJ 08361-8469 — (856) 692-0050
  • 1791 Airport Rd, Allentown, PA 18109-9528 — (610) 264-5844

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS021569 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MB09405100 (NJ)

Record details

NPI number1790066108
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 30, 2011
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address1450e Chestnut Ave 3d, Vineland, NJ 08361-8469

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2011 (15 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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