Active NPI
Sirui Mastoris, MD
- Surgery Physician
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD489120
- Practice address
- 500 Plaza CT
East Stroudsburg, PA 18301-8262 - Phone
- (570) 424-1424
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P21-01206 | NJ | |
| Surgery Physician | 208600000X | MD489120 | PA | Primary |
Addresses
Primary practice location
500 Plaza CT
East Stroudsburg, PA 18301-8262
Mailing address
2100 Mack Blvd FL 4
Allentown, PA 18103-5622
Other practice location 1
185 S Orange Ave
Newark, NJ 07103-2757
Phone (732) 789-8348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
1411 Jacobsburg Rd
Wind Gap, PA 18091-9788
Phone (610) 402-6555
200 E Brown St
LVPG Family Medicine Esu
East Stroudsburg, PA 18301-3006
Phone (272) 762-4378
5649 Wynnewood Dr
Laurys Station, PA 18059-1124
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21-01206 | NJ | MD | Surgery Physician |
| MD489120 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Surgery | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients | |
| Lehigh Valley Hospital Pocono | Past | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
1411 Jacobsburg Rd
Fl 2
Wind Gap, PA 18091
Interoperability endpoints
- smastoris1660347@direct2.lvhn.org
Organizations & group practices 5
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.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Surgery Physician
- Allentown, PA
- NPI 1386733061
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1366070591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PLAZA CT",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018262",
"telephone_number": "570-424-1424"
}
],
"practiceLocations": [
{
"address_1": "185 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032757",
"country_code": "US",
"telephone_number": "732-789-8348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASTORIS",
"first_name": "SIRUI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "P21-01206",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD489120",
"primary": true
}
],
"identifiers": [],
"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 Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.