Active NPI
Pocono MRI Imaging and Diagnostic Center, LLC
- Neurology Physician
- Brodheadsville, PA
National Provider Identifier
1447505235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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.
-
dba St. Luke's Sports Medicine
- Sports Medicine (Preventive Medicine) Physician
- Bethlehem, PA
- NPI 1437356441
Member Of
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.
-
- Neurology Physician
- East Stroudsburg, PA
- NPI 1477576528
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.