Organization Active NPI

New Horizon Medical LLC

  • Family Medicine Physician
  • East Stroudsburg, PA
National Provider Identifier
1891262986
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW HORIZON MEDICAL LLC
Practice address
221 E Brown St
East Stroudsburg, PA 18301-3005
Phone
(570) 421-6200
NPI assigned
Oct 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
George Abraham, MD
Title
Owner
Phone
(864) 617-0396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

221 E Brown St
East Stroudsburg, PA 18301-3005

Mailing address

1270 Ciara Dr
Bethlehem, PA 18017-3056
Phone (864) 617-0396

Other identifiers 1

IdentifierTypeStateIssuer
1030027450015MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1891262986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 CIARA DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173056",
            "telephone_number": "864-617-0396",
            "fax_number": "219-300-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013005",
            "telephone_number": "570-421-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-27",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-617-0396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030027450015",
            "state": "PA"
        }
    ],
    "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 Nov 20, 2018; 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.