Pocono MRI Imaging and Diagnostic Center,LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC

Practice address

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087

Phone

(570) 424-8000

Fax

(570) 517-5100

NPI assigned

Sep 20, 2012

Organization subpart

Yes

Parent organization

POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Bhavna Chhabria, MD

Title

Ceo

Phone

(570) 517-7393

Specialties & licenses 4

Addresses

Tax ID family

Pocono MRI Imag Diag CNTR2 organizations share this tax ID, including this one

Part of

Pocono MRI Imag Diag CNTR

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pocono MRI Imaging and Diagnostic Center, LLC

  • Neurology Physician
  • East Stroudsburg, PA
  • NPI 1790030526
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pocono MRI Imaging and Diagnostic Center LLC

  • Neurology Physician
  • East Stroudsburg, PA
  • NPI 1477576528
  NPPES parent name

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1295086080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKINSONS RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-8000",
            "fax_number": "570-517-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKINSONS RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-8000",
            "fax_number": "570-517-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "CHHABRIA",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-517-7393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pocono Medical Center, Inc.
• Pocono Medical Group & Nephrology Consultants, 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 MRI Imaging and Diagnostic Center,LLC
• Pocono Neurology Associates
• Pocono Orthopaedics Surgery
• Pocono Orthopedic Consultants, Inc

• Pain Medicine Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.