Organization Active NPI

East Brown Medical Associates

  • Internal Medicine Physician
  • East Stroudsburg, PA
National Provider Identifier
1215077672
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST BROWN MEDICAL ASSOCIATES
Practice address
100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144
Phone
(570) 421-5111
Fax
(571) 421-4125
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Diane Harrison
Title
Billing Manager
Phone
(570) 426-1586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X PA Primary

Addresses

Primary practice location

100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144

Mailing address

100 Eaglesmere Cir
East Stroudsburg, PA 18301-3144
Phone (570) 421-5111

Other identifiers 1

IdentifierTypeStateIssuer
0011962710003MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215077672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAGLESMERE CIR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013144",
            "telephone_number": "570-421-5111",
            "fax_number": "571-421-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLESMERE CIR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013144",
            "telephone_number": "570-421-5111",
            "fax_number": "571-421-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BROWN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "570-426-1586"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011962710003",
            "state": "PA"
        }
    ],
    "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 Jul 21, 2022; 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.