NPIMap

Organization Active NPI

Pocono MRI Imaging and Diagnostic Center, LLC

  • Neurology Physician
  • East Stroudsburg, PA
National Provider Identifier
1790030526
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Practice address
235 E Brown St
East Stroudsburg, PA 18301-8087
Phone
(570) 421-3872
Fax
(570) 424-5976
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Bhavna Chhabria, MD
Title
Ceo
Phone
(570) 517-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

235 E Brown St
East Stroudsburg, PA 18301-8087

Mailing address

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone (570) 424-8000

National Provider Directory

National Provider Directory
Tax ID family
Pocono MRI Imag Diag CNTR2 organizations share this tax ID, including this one
Part of
Pocono MRI Imag Diag CNTR

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1790030526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKINSONS RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-8000",
            "fax_number": "570-517-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-421-3872",
            "fax_number": "570-424-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "CHHABRIA",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-517-7393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 18, 2012; 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.