NPIMap

Individual provider Active NPI

Sandra Pascal, D.O.

  • Family Medicine Physician
  • Stroudsburg, PA
National Provider Identifier
1205097706
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2444921 Issued in NY
Practice address
4227 Manor Dr
Stroudsburg, PA 18360-9451
Phone
(954) 249-8694
Fax
(570) 805-2218
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS015101 PA
Family Medicine Physician 207Q00000X 2444921 NY Primary

Addresses

Primary practice location

4227 Manor Dr
Stroudsburg, PA 18360-9451

Mailing address

16 Deer TRL
Nesquehoning, PA 18240-2114
Phone (954) 249-8694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090205000174 NY Practitioner - Family PracticePractitioner - Internal Medicine 1254495260 Reassigns benefits to 1 organization
I20110307000938 PA Practitioner - Family PracticePractitioner - Internal Medicine 1254495260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNP Direct Paths LLCGroup PAC ID 4486939030, 2 clinicians

Practice addresses (Care Compare)

16 Deer TRL
Nesquehoning, PA 18240-2114
Phone (954) 249-8694

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2444921NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lwhmedical PC Family Medicine CurrentSince Mar 27, 2018 Accepting new patients
Hunter Health Inc CurrentSince Apr 27, 2025 Accepting new patients
SNP Direct Paths LLC Family Medicine CurrentSince Jan 25, 2017 Accepting new patients
Stroudsburg Post Acute Nursing & Rehabilitation LLC Past Accepting new patients
Delaware Valley Skilled Nursing Operating Company, LLC Past Accepting new patients
Ellen Memorial, LLC Past Accepting new patients
Milford Nursing and Rehabilitation LLC Past Accepting new patients
Milford Rehabilitation and Healthcare Center LLC Past Accepting new patients
Ellen Memorial Rehabilitation and Healthcare Center LLC Past Accepting new patients
Pleasant Valley Manor, Inc. Past Accepting new patients

Locations

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

264 Route 6 and 209
Milford, PA 18337
Phone (570) 491-4121

4227 Manor Dr
Stroudsburg, PA 18360
Phone (570) 922-4172

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Delaware Valley Skilled Nursing & Rehabilitation CenterMatamoras, PA, CCN 396148 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1205097706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEER TRL",
            "city": "NESQUEHONING",
            "state": "PA",
            "postal_code": "182402114",
            "telephone_number": "954-249-8694",
            "fax_number": "570-805-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MANOR DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609451",
            "telephone_number": "954-249-8694",
            "fax_number": "570-805-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCAL",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2444921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.