Active NPI
Pocono Pediatric Associates, Inc
- Pediatrics Physician
- Stroudsburg, PA
National Provider Identifier
1932194446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- POCONO PEDIATRIC ASSOCIATES, INC
- Practice address
- 208 Lifeline Rd
Ste 201
Stroudsburg, PA 18360-7566 - Phone
- (570) 476-6700
- Fax
- (570) 476-0735
- NPI assigned
- Sep 12, 2005
- 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
- Mrs. Bernie Lynch
- Title
- Business Office
- Phone
- (570) 476-9788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
208 Lifeline Rd
Ste 201
Stroudsburg, PA 18360-7566
Mailing address
208 Lifeline Rd
Ste 201
Stroudsburg, PA 18360-7566
Phone (570) 476-6700
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0724502 | St Luke's Pocono Pediatric Associates Inc | Certificate of waiver | Aug 17, 2027 |
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
- East Stroudsburg, PA
- NPI 1821137415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367971200000",
"number": "1932194446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LIFELINE RD",
"address_2": "STE 201",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183607566",
"telephone_number": "570-476-6700",
"fax_number": "570-476-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LIFELINE RD",
"address_2": "STE 201",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183607566",
"telephone_number": "570-476-6700",
"fax_number": "570-476-0735"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POCONO PEDIATRIC ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2013-05-08",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "BERNIE",
"authorized_official_title_or_position": "BUSINESS OFFICE",
"authorized_official_telephone_number": "570-476-9788",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stroudsburg, PA
- Pocono Institute of Neurology and Psychiatry PC
- Pocono Medical Center (PMC Physician Associates Vascular Surgery)
- Pocono Medical Center
- Pocono Midwives & Associates LLC.
- Pocono Occupational Medicine
- Pocono Pharmacy Inc (Pocono Pharmacy)
- Pocono Speech Center, LLC
- Pocono Support Coordination LLC
- Andrew Poepoe, PT, DPT
- Jennifer Ann Pohler, MSW, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.