Individual provider Active NPI

Mary Jane B. Torres, M.D.

  • Pediatrics Physician
  • East Stroudsburg, PA
National Provider Identifier
1407899636
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD431827 Issued in PA
Practice address
175 E Brown St
Suite 108
East Stroudsburg, PA 18301-3098
Phone
(570) 476-3585
Fax
(570) 421-9014
NPI assigned
Jun 14, 2006
Last updated
Feb 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 25MA07860200 NJ
Pediatrics Physician 208000000X MD431827 PA Primary

Addresses

Primary practice location

175 E Brown St
Suite 108
East Stroudsburg, PA 18301-3098

Mailing address

175 E Brown St
Suite 108
East Stroudsburg, PA 18301-3098
Phone (570) 420-4951

Other identifiers 1

IdentifierTypeStateIssuer
1020224200001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225001139 PA Practitioner - Pediatric Medicine 6709983240 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD431827PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Family Care Centers Inc CurrentSince Dec 1, 2020 Accepting new patients
Lehigh Valley Physician Group Pediatrics Current Accepting new patients
Family Care Centers Inc. Pediatrics CurrentSince Dec 1, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital Pocono Past Accepting new patients

Locations

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

175 E Brown St
Ste 108
East Stroudsburg, PA 18301
Phone (570) 421-3401

400 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 424-9555

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

440 W Lincoln St
Easton, PA 18042
Phone (484) 224-0825

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

205 Applegate Rd
Stroudsburg, PA 18360
Phone (570) 476-3585

Interoperability endpoints

  • Direct secure messaging: mtorres105373@direct2.lvhn.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1407899636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 108",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 108",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-476-3585",
            "fax_number": "570-421-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MARY JANE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "25MA07860200",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD431827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020224200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.