Active NPI
Roosevelt Bantoe Totaye, CRNP
- Family Nurse Practitioner
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP032033
- Practice address
- 206 E Brown St
East Stroudsburg, PA 18301-3006 - Phone
- (570) 426-2301
- NPI assigned
- Jan 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | SP032033 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP032033 | PA | Primary |
| Internal Medicine Physician | 207R00000X | SP032033 | PA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | SP032033 | PA | |
| Surgery Physician | 208600000X | SP032033 | PA | |
| Trauma Surgery Physician | 2086S0127X | SP032033 | PA |
Addresses
Primary practice location
206 E Brown St
East Stroudsburg, PA 18301-3006
Mailing address
206 E Brown St
East Stroudsburg, PA 18301-3006
Phone (570) 426-2301
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 E Brown St
102 LVPG General and Trauma Surgery
East Stroudsburg, PA 18301-3098
Phone (570) 424-1424
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP032033 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
175 E Brown St
Ste 102
East Stroudsburg, PA 18301
Phone (570) 422-6666
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Ophthalmology Physician
- Fogelsville, PA
- NPI 1770772295
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1467319491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-426-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-426-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOTAYE",
"first_name": "ROOSEVELT",
"middle_name": "BANTOE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-09",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "SP032033",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP032033",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "SP032033",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "PA",
"license": "SP032033",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "SP032033",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "PA",
"license": "SP032033",
"primary": false
}
],
"identifiers": [],
"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 Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.