Organization Active NPI

New Day Pain & Spine Specialists LLC

  • Pain Clinic/Center
  • East Stroudsburg, PA
National Provider Identifier
1609438324
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
NEW DAY PAIN & SPINE SPECIALISTS LLC
Practice address
230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone
(570) 420-1955
Fax
(570) 424-0707
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Prabhakar Reddy Gundappu Reddy, MDNPI 1114102910
Title
0Wner
Phone
(505) 514-2779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

230 Independence Rd
East Stroudsburg, PA 18301-9447

Mailing address

7241 Cedar Rd
Macungie, PA 18062-8958

Other practice location 1

66 Sunset Strip Ste 309
Succasunna, NJ 07876-1362
Phone (973) 584-9984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190822003737 PA Part B Supplier - Clinic/Group Practice 9537497938 Receives reassigned benefits from 1 practitioner
Practice locations: Bethlehem, PA
O20190829000249 NJ Part B Supplier - Clinic/Group Practice 9537497938 Receives reassigned benefits from 1 practitioner
Practice locations: Phillipsburg, NJ

National Provider Directory

National Provider Directory

Locations

66 Sunset Strip
Ste 309
Succasunna, NJ 07876
Phone (973) 584-1405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1609438324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 CEDAR RD",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019447",
            "telephone_number": "570-420-1955",
            "fax_number": "570-424-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Sunset Strip Ste 309",
            "address_purpose": "LOCATION",
            "city": "Succasunna",
            "state": "NJ",
            "postal_code": "078761362",
            "country_code": "US",
            "telephone_number": "973-584-9984",
            "fax_number": "973-584-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW DAY PAIN & SPINE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "GUNDAPPU REDDY",
        "authorized_official_first_name": "PRABHAKAR REDDY",
        "authorized_official_title_or_position": "0WNER",
        "authorized_official_telephone_number": "505-514-2779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "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 2, 2019; 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.