NPIMap

Organization Active NPI

Pocono Ear, Nose, Throat & Facial Plastic Surgery Assoc, P.C.

  • Otolaryngology Physician
  • East Stroudsburg, PA
National Provider Identifier
1427494053
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD036586L Issued in PA
Legal business name
POCONO EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY ASSOC, P.C.
Practice address
296 E Brown St
East Stroudsburg, PA 18301-3011
Phone
(570) 424-2830
NPI assigned
May 22, 2013
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Hussain G Malik, M.D. F.A.C.S.NPI 1720286800
Title
Owner
Phone
(570) 424-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD036586L PA Primary
Plastic Surgery Physician 208200000X MD036586L PA

Addresses

Primary practice location

296 E Brown St
East Stroudsburg, PA 18301-3011

Mailing address

296 E Brown St
East Stroudsburg, PA 18301-3011
Phone (570) 424-2830

Other identifiers 1

IdentifierTypeStateIssuer
0017769230005MedicaidPA

National Provider Directory

National Provider Directory

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": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1427494053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013011",
            "telephone_number": "570-424-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013011",
            "telephone_number": "570-424-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY ASSOC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "HUSSAIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-424-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD036586L",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD036586L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017769230005",
            "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 May 22, 2013; 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.