Active NPI
Maira L Santiago, RDMS
- Sonography Radiologic Technologist
- E Stroudsburg, PA
National Provider Identifier
1356698906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 71843
- Practice address
- 808 Seven Bridge Rd
E Stroudsburg, PA 18301-7942 - Phone
- (570) 369-8888
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 71843 | NJ | Primary |
Addresses
Primary practice location
808 Seven Bridge Rd
E Stroudsburg, PA 18301-7942
Mailing address
808 Seven Bridge Rd
E Stroudsburg, PA 18301-7942
Phone (570) 369-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71843 | NJ | MD | Sonography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meet Ur Baby 3D @ Madeline'S Place, LLC | Past | Accepting new patients | |
| Meet Ur Baby 3D at Madeline'S Place | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- E Stroudsburg, PA
- NPI 1326395989
-
- Birthing Clinic/Center
- East Stroudsburg, PA
- NPI 1982045472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1356698906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 SEVEN BRIDGE RD",
"city": "E STROUDSBURG",
"state": "PA",
"postal_code": "183017942",
"telephone_number": "570-369-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 SEVEN BRIDGE RD",
"city": "E STROUDSBURG",
"state": "PA",
"postal_code": "183017942",
"telephone_number": "570-369-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "MAIRA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RDMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NJ",
"license": "71843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in E Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.