Active NPI
Neurology Center
- Specialist
- East Stroudsburg, PA
National Provider Identifier
1326291709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NEUROLOGY CENTER
- Practice address
- 232 Independence Rd
East Stroudsburg, PA 18301-9447 - Phone
- (570) 420-1955
- Fax
- (570) 424-0707
- NPI assigned
- Oct 29, 2008
- Last updated
- Oct 29, 2008
- Organization subpart
- Yes
- Parent organization
- NORTHEASTERN REHABILIATION AND PAIN MANAGEMENT CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Traci L Benjamin
- Title
- Office Manager
- Phone
- (570) 420-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
232 Independence Rd
East Stroudsburg, PA 18301-9447
Mailing address
230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone (570) 420-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047780 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Northeastern Rehabilita
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Magnetic Resonance Imaging Radiologic Technologist
- East Stroudsburg, PA
- NPI 1417100892
Practitioners & affiliated clinicians
Practitioners 1
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": "1225238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225238400000",
"number": "1326291709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 INDEPENDENCE RD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183019447",
"telephone_number": "570-420-0111",
"fax_number": "570-420-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 INDEPENDENCE RD",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183019447",
"telephone_number": "570-420-1955",
"fax_number": "570-424-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHEASTERN REHABILIATION AND PAIN MANAGEMENT CENTER",
"enumeration_date": "2008-10-29",
"last_updated": "2008-10-29",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "TRACI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "570-420-0111",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047780",
"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 Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.