Organization Active NPI

Jenny Rose Specialized Therapy Center LLC

  • Podiatrist
  • East Stroudsburg, PA
National Provider Identifier
1508962861
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JENNY ROSE SPECIALIZED THERAPY CENTER LLC
Practice address
296 East Brown Street
Suite B
East Stroudsburg, PA 18301
Phone
(570) 421-3415
Fax
(570) 421-9873
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Mrs. Elaine R Parker, CHT
Title
Owner
Phone
(570) 421-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

296 East Brown Street
Suite B
East Stroudsburg, PA 18301

Mailing address

296 East Brown Street
Suite B
East Stroudsburg, PA 18301
Phone (570) 421-3415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1508962861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 EAST BROWN STREET",
            "address_2": "SUITE B",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-421-3415",
            "fax_number": "570-421-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 EAST BROWN STREET",
            "address_2": "SUITE B",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-421-3415",
            "fax_number": "570-421-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY ROSE SPECIALIZED THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-421-3415",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHT"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 18, 2007; 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.