Active NPI
Rebecca L Griesser
- Pediatrics Physician
- Pocono Summit, PA
National Provider Identifier
1639638745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39
- Practice address
- 174 Harvest LN
Pocono Summit, PA 18346-7761 - Phone
- (272) 639-5420
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 39 | PA | Primary |
Addresses
Primary practice location
174 Harvest LN
Pocono Summit, PA 18346-7761
Mailing address
174 Harvest LN
Pocono Summit, PA 18346-7761
Phone (272) 639-5420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190820001886 | NY | Order and Referring Only - Pediatric Medicine | 0547598294 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39 | PA | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- rebecca.griesser@slpg.direct-sluhn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1639638745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 HARVEST LN",
"city": "POCONO SUMMIT",
"state": "PA",
"postal_code": "183467761",
"telephone_number": "272-639-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 HARVEST LN",
"city": "POCONO SUMMIT",
"state": "PA",
"postal_code": "183467761",
"telephone_number": "272-639-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESSER",
"first_name": "REBECCA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocono Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.