Organization Active NPI

Pocono Family Health, LLC

  • Specialist
  • East Stroudsburg, PA
National Provider Identifier
1205851136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD420530 Issued in PA
Legal business name
POCONO FAMILY HEALTH, LLC
Practice address
505 Independence Rd
Suite C
East Stroudsburg, PA 18301-7916
Phone
(570) 421-5003
NPI assigned
Jul 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Levelle Bigatel
Title
Delegated Official
Phone
(570) 421-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD420530 PA Primary

Addresses

Primary practice location

505 Independence Rd
Suite C
East Stroudsburg, PA 18301-7916

Mailing address

505 Independence Rd
Suite C
East Stroudsburg, PA 18301-7916
Phone (570) 421-5003

National Provider Directory

National Provider Directory

Locations

505 Independence Rd
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-3771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205851136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 INDEPENDENCE RD",
            "address_2": "SUITE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017916",
            "telephone_number": "570-421-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 INDEPENDENCE RD",
            "address_2": "SUITE C",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017916",
            "telephone_number": "570-421-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO FAMILY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIGATEL",
        "authorized_official_first_name": "LEVELLE",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "570-421-5003"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD420530",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.