Organization Active NPI

Zahra Pediatrics LLC

  • Pediatrics Physician
  • East Stroudsburg, PA
National Provider Identifier
1932205754
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ZAHRA PEDIATRICS LLC
Practice address
419 King St
East Stroudsburg, PA 18301-1206
Phone
(570) 424-8300
Fax
(570) 424-8301
NPI assigned
Sep 16, 2006
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Dr. Ramlah Mohyuddin VahanvatyNPI 1679527279
Title
Partner
Phone
(570) 424-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

419 King St
East Stroudsburg, PA 18301-1206

Mailing address

419 King St
East Stroudsburg, PA 18301-1206
Phone (570) 424-8300

Other identifiers 1

IdentifierTypeStateIssuer
0015726830001MedicaidPA

National Provider Directory

National Provider Directory

Locations

419 King St
East Stroudsburg, PA 18301
Phone (570) 424-8300

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1932205754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 KING ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011206",
            "telephone_number": "570-424-8300",
            "fax_number": "570-424-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 KING ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011206",
            "telephone_number": "570-424-8300",
            "fax_number": "570-424-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHRA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "VAHANVATY",
        "authorized_official_first_name": "RAMLAH",
        "authorized_official_middle_name": "MOHYUDDIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-424-8300",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "0015726830001",
            "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 Feb 22, 2016; 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.