Pennsylvania Associates, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

457036 Issued in PA

Legal business name

PENNSYLVANIA ASSOCIATES, LLC

Doing business as

Mount Pocono Medical

Practice address

1151 Mount Pocono Blvd
Suite 3
Mount Pocono, PA 18344

Phone

(570) 839-7246

Fax

(570) 839-7248

NPI assigned

Jan 13, 2010

Last updated

Jul 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robyn Tanis

Title

Executive Director Contract MGMT

Phone

(856) 533-8762

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mount Pocono Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Locations

Practitioners 2

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.

• Arielle Jeannette Gerard, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Lansdowne, PA
  • NPI 1962906412
  NPD
• Daniel T Brown, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Ravenna, OH
  • NPI 1487635306
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1447580584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MOUNT POCONO BLVD",
            "address_2": "SUITE 3",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "18344",
            "telephone_number": "570-839-7246",
            "fax_number": "570-839-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "PA",
            "license": "457036",
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPARTMENT OF HEALTH LICENSE NUMBER",
            "identifier": "457036",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Pocono Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Pocono Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Alan Panzik, PHARMD RPH
• Cheril Parmar
• Jessica Pedersen, LPC
• Gregory David Pence, D.M.D.
• Pennsylvania Associates
• Brooke Pezak, CRNP
• David Peeair Phillips, MCC, EDD, PHD
• James Irving Plummer Jr.
• Pocono Resolutions LLC
• Patricia A Polinski, LCSW

• Methadone Clinic in Mount Pocono, PA
• Providers in Mount Pocono, PA by specialty
• Methadone Clinic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.