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

Stacey Fornarotto, PA

Individual provider Medical Physician Assistant · NPI 1245204247

Stacey Fornarotto, PA is a Physician Assistant in Bethlehem, Pennsylvania. Qualified in 1995, 31 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
31
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2649 Schoenersville Rd Ste 201
Bethlehem, PA 18017-7326
Phone: (610) 868-6880
Fax: (610) 868-5333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA002023L (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MP20000 (NJ)

Record details

NPI number1245204247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESSeptember 9, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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