Pocono Neurology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD016750E Issued in PA

Legal business name

POCONO NEUROLOGY ASSOCIATES

Practice address

144 E Brown St
East Stroudsburg, PA 18301-2922

Phone

(570) 421-1213

Fax

(570) 421-4541

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By 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

Giriwarlal Gupta, MD

Title

Owner

Phone

(570) 421-1213

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1215125133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012922",
            "telephone_number": "570-421-1213",
            "fax_number": "570-421-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012922",
            "telephone_number": "570-421-1213",
            "fax_number": "570-421-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO NEUROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GIRIWARLAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-421-1213",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD016750E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011360030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pocono MRI Imaging and Diagnostic Center, LLC
• Pocono MRI Imaging and Diagnostic Center, LLC
• Pocono MRI Imaging and Diagnostic Center,LLC
• Pocono MRI Imaging and Diagnostic Center,LLC
• Pocono MRI Imaging and Diagnostic Center,LLC
• Pocono Orthopaedics Surgery
• Pocono Orthopedic Consultants, Inc
• Pocono Orthpopaedics Surgery
• Pocono Pediatric Associates Inc
• Pocono Podiatry and Wound Care, LLC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.