Individual provider Active NPI

Vladimir Nikiforouk, M.D.

  • Obstetrics & Gynecology Physician
  • East Stroudsburg, PA
National Provider Identifier
1811923030
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD428186 Issued in PA
Practice address
175 E Brown St
Suite 108
East Stroudsburg, PA 18301-3098
Phone
(570) 421-3401
Fax
(570) 421-0560
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD428186 PA Primary

Addresses

Primary practice location

175 E Brown St
Suite 108
East Stroudsburg, PA 18301-3098

Mailing address

206 E Brown St
Pocono Healthcare Management
East Stroudsburg, PA 18301-3006
Phone (570) 420-4951

Other practice location 1

1245 S Cedar Crest Blvd Ste 201
Allentown, PA 18103-6258
Phone (610) 402-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000128 PA Practitioner - Obstetrics/Gynecology 6103839667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
74.47
Promoting interoperability
86
Improvement activities
40
Cost
74.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD428186PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 5, 2024 Accepting new patients
Family Care Centers Inc CurrentSince Oct 5, 2010 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Family Care Centers Inc. Obstetrics & Gynecology CurrentSince Oct 5, 2010 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 5, 2024 Accepting new patients
Ohio Valley General Hospital Obstetrics & Gynecology Past Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

175 E Brown St
Ste 108
East Stroudsburg, PA 18301
Phone (570) 421-3401

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

320 W Pumping Station Rd
Ste 2
Quakertown, PA 18951
Phone (215) 529-4210

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

600 Commerce Blvd
Stroudsburg, PA 18360
Phone (570) 424-7390

Interoperability endpoints

  • Direct secure messaging: vnikiforouk109187@direct2.lvhn.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1811923030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "address_2": "POCONO HEALTHCARE MANAGEMENT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 108",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-421-3401",
            "fax_number": "570-421-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 S Cedar Crest Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036258",
            "country_code": "US",
            "telephone_number": "610-402-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKIFOROUK",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD428186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.