Pocono Medical Group & Nephrology Consultants, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS, LLC

Practice address

100 Plaza CT
Suite a
East Stroudsburg, PA 18301-8258

Phone

(570) 421-7292

Fax

(570) 421-8351

NPI assigned

Aug 31, 2006

Last updated

Dec 31, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS MEDICAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Umesh I Dalal, M.D.

Title

Owner Physician

Phone

(570) 421-7292

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pocono Medical Group & Nephrology Consultants Former legal business name

Locations

Practitioners 2

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.

• Rajesh Govindasamy, M.D.

  • Hospitalist Physician
  • Erie, PA
  • NPI 1649372319

  Internal Medicine

  NPD (past)
• Russell A Horn, PA

  • Physician Assistant
  • Bartonsville, PA
  • NPI 1013907229
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1881705929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLAZA CT",
            "address_2": "SUITE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018258",
            "telephone_number": "570-421-7292",
            "fax_number": "570-421-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLAZA CT",
            "address_2": "SUITE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018258",
            "telephone_number": "570-421-7292",
            "fax_number": "570-421-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCONO MEDICAL GROUP & NEPHROLOGY CONSULTANTS MEDICAL SERVICES, LLC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "UMESH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "570-421-7292",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019487880001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocono Medical Group & Nephrology Consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pocono Medical Center (Pocono Medical Center Psychologists)
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• Pocono Medical Center
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• Pocono Medical Center, Inc. (PMC Behavioral Health)
• Pocono MRI Imaging and Diagnostic Center LLC
• Pocono MRI Imaging and Diagnostic Center, LLC
• Pocono MRI Imaging and Diagnostic Center, LLC
• Pocono MRI Imaging and Diagnostic Center,LLC
• Pocono MRI Imaging and Diagnostic Center,LLC

• Internal Medicine Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.