Organization Active NPI

Monroe Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • East Stroudsburg, PA
National Provider Identifier
1063283109
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MONROE ENDOSCOPY CENTER, LLC
Practice address
511 Vna Rd FL 2
East Stroudsburg, PA 18301-8502
Phone
(610) 756-9900
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Melinda Lopez, RN,BSN
Title
Director of Endoscopy Services
Phone
(610) 756-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

511 Vna Rd FL 2
East Stroudsburg, PA 18301-8502

Mailing address

511 Vna Rd FL 2
East Stroudsburg, PA 18301-8502
Phone (610) 756-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501003693 PA Part B Supplier - Ambulatory Surgical Center 3072953413 Receives reassigned benefits from 6 practitioners
Practice locations: East Stroudsburg, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Monroe Endoscopy Center LLCCCN 39C0001392
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

511 Vna Rd
Ste 200
East Stroudsburg, PA 18301
Phone (570) 314-9401

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1063283109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 VNA RD FL 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018502",
            "telephone_number": "610-756-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 VNA RD FL 2",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018502",
            "telephone_number": "610-756-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "DIRECTOR OF ENDOSCOPY SERVICES",
        "authorized_official_telephone_number": "610-756-9900",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.