Pocono Institute of Neurology and Psychiatry PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

8772358073 Issued in PA

Legal business name

POCONO INSTITUTE OF NEUROLOGY AND PSYCHIATRY PC

Practice address

208 Lifeline Rd
Suite 103
Stroudsburg, PA 18360-6419

Phone

(570) 213-5794

Fax

(570) 872-9344

NPI assigned

Sep 18, 2012

Last updated

Sep 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Behzad Maghsoudlou, M.D.

Title

President

Phone

(570) 213-5794

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1003166059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LIFELINE RD",
            "address_2": "SUITE 103",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606419",
            "telephone_number": "570-213-5794",
            "fax_number": "570-872-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LIFELINE RD",
            "address_2": "SUITE 103",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606419",
            "telephone_number": "570-213-5794",
            "fax_number": "570-872-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO INSTITUTE OF NEUROLOGY AND PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDLOU",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-213-5794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "8772358073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Pinkowski, RN
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• Pocono Medical Center
• Pocono Midwives & Associates LLC.
• Pocono Occupational Medicine
• Pocono Pediatric Associates, Inc

• Specialist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.