Organization Active NPI

Pocono Midwives & Associates LLC.

  • Advanced Practice Midwife
  • Stroudsburg, PA
National Provider Identifier
1700929221
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW008552L Issued in PA
Legal business name
POCONO MIDWIVES & ASSOCIATES LLC.
Practice address
1519 N 9TH St
Stroudsburg, PA 18360
Phone
(570) 421-9876
Fax
(570) 421-9874
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Mrs. Andrea Sidonie McLaren, CNM
Title
President
Phone
(570) 421-9876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367A00000X MW008552L PA Primary

Addresses

Primary practice location

1519 N 9TH St
Stroudsburg, PA 18360

Mailing address

1519 N 9TH St
Stroudsburg, PA 18360-7576
Phone (570) 421-9876

Other practice location 1

1519 N 9th St
Stroudsburg, PA 18360
Phone (570) 421-9876

Other identifiers 1

IdentifierTypeStateIssuer
0019057710001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1519 N 9th St
Stroudsburg, PA 18360
Phone (570) 421-9876

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1700929221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607576",
            "telephone_number": "570-421-9876",
            "fax_number": "570-421-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-421-9876",
            "fax_number": "570-421-9874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1519 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "18360",
            "country_code": "US",
            "telephone_number": "570-421-9876",
            "fax_number": "570-421-9874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POCONO MIDWIVES & ASSOCIATES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLAREN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SIDONIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-421-9876",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW008552L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019057710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.