Active NPI
Pocono Pediatric Associates Inc
- Pediatrics Physician
- East Stroudsburg, PA
National Provider Identifier
1821137415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- POCONO PEDIATRIC ASSOCIATES INC
- Practice address
- 9090 Franklin Hill Road
Suite 2021
East Stroudsburg, PA 18301-9103 - Phone
- (570) 223-5010
- Fax
- (570) 223-5015
- NPI assigned
- Feb 6, 2007
- 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
- Christopher B Lynch, DO
- Title
- Ceo
- Phone
- (570) 223-5010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
9090 Franklin Hill Road
Suite 2021
East Stroudsburg, PA 18301-9103
Mailing address
9090 Franklin Hill Road
Suite 2021
East Stroudsburg, PA 18301-9103
Phone (570) 223-5010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007455040002 | Medicaid | PA | |
| 1007455040007 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Pocono Pediatric Associates Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Stroudsburg, PA
- NPI 1932194446
Locations
9090 Franklin Hill Rd
Ste 2021
East Stroudsburg, PA 18301
Phone (570) 223-5010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1821137415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9090 FRANKLIN HILL ROAD",
"address_2": "SUITE 2021",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183019103",
"telephone_number": "570-223-5010",
"fax_number": "570-223-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 FRANKLIN HILL ROAD",
"address_2": "SUITE 2021",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183019103",
"telephone_number": "570-223-5010",
"fax_number": "570-223-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POCONO PEDIATRIC ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "570-223-5010",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007455040002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007455040007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
- Pocono MRI Imaging and Diagnostic Center,LLC
- Pocono Neurology Associates
- Pocono Orthopaedics Surgery
- Pocono Orthopedic Consultants, Inc
- Pocono Orthpopaedics Surgery
- Pocono Podiatry and Wound Care, LLC.
- Pocono Podiatry Associates
- Pocono Psychiatric Associates
- Pocono Rehab & Therapy Ctr, LLC
- Pocono Surgical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.