Organization Active NPI

Pocono MRI Imaging and Diagnostic Center, LLC

  • Neurology Physician
  • Brodheadsville, PA
National Provider Identifier
1447505235
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Practice address
516 Jenna Dr
Brodheadsville, PA 18322-9801
Phone
(570) 992-1600
Fax
(570) 992-1715
NPI assigned
Jul 17, 2012
Organization subpart
Yes
Parent organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Bhavna Chhabria, MD
Title
Ceo
Phone
(570) 517-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

516 Jenna Dr
Brodheadsville, PA 18322-9801

Mailing address

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone (570) 424-8000

National Provider Directory

National Provider Directory
Part of
Pocono MRI Imaging Diag CT

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1447505235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKINSONS RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-8000",
            "fax_number": "570-517-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 JENNA DR",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229801",
            "telephone_number": "570-992-1600",
            "fax_number": "570-992-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "CHHABRIA",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-517-7393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.