NPIMap

Organization Active NPI

Pocono Medical Center

  • Registered Nurse
  • Stroudsburg, PA
National Provider Identifier
1780734913
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
POCONO MEDICAL CENTER
Practice address
2 Veterans PL
PMC Learning Institute
Stroudsburg, PA 18360-2494
Phone
(570) 426-1688
Fax
(570) 426-1832
NPI assigned
Jan 11, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Nicholas Christiano
Title
VP
Phone
(570) 421-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

2 Veterans PL
PMC Learning Institute
Stroudsburg, PA 18360-2494

Mailing address

206 E Brown St
Pocono Healthcare MGMT. - Professional BLDG.
E Stroudsburg, PA 18301-3006
Phone (570) 476-3507

Other identifiers 1

IdentifierTypeStateIssuer
1007723970027MedicaidPA

Other names 1

  • Nurse Family Partnership of Monroe County Other name

National Provider Directory

National Provider Directory
Tax ID family
Pocono Kids Dental28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

2 Veterans Pl
Stroudsburg, PA 18360
Phone (570) 426-1688

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1780734913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "address_2": "POCONO HEALTHCARE MGMT. - PROFESSIONAL BLDG.",
            "city": "E STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-476-3507",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VETERANS PL",
            "address_2": "PMC LEARNING INSTITUTE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602494",
            "telephone_number": "570-426-1688",
            "fax_number": "570-426-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "570-421-4000"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007723970027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Family Partnership of Monroe County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 17, 2008; 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.