Active NPI
Medstaff Resources LLC
- Nursing Facility/Intermediate Care Facility
- East Stroudsburg, PA
National Provider Identifier
1720554371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- MEDSTAFF RESOURCES LLC
- Practice address
- 221 E Brown St
East Stroudsburg, PA 18301-3005 - Phone
- (484) 773-8334
- Fax
- (573) 240-9428
- NPI assigned
- Oct 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jatinder Singh Gahla, MD
- Title
- Owner
- Phone
- (484) 773-8334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
221 E Brown St
East Stroudsburg, PA 18301-3005
Mailing address
2440 Woodland Hills CT
Hellertown, PA 18055-3364
Phone (484) 773-8334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026551100003 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1720554371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 WOODLAND HILLS CT",
"city": "HELLERTOWN",
"state": "PA",
"postal_code": "180553364",
"telephone_number": "484-773-8334",
"fax_number": "573-240-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013005",
"telephone_number": "484-773-8334",
"fax_number": "573-240-9428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSTAFF RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-22",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "GAHLA",
"authorized_official_first_name": "JATINDER",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-773-8334",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026551100003",
"state": "PA"
}
],
"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 Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.