Organization Active NPI

NE Rehab & Pain Management Center

  • Specialist
  • East Stroudsburg, PA
National Provider Identifier
1952365595
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NE REHAB & PAIN MANAGEMENT CENTER
Practice address
230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone
(570) 420-1955
Fax
(570) 424-0707
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Mrs. Sheila Vegari
Title
Administration
Phone
(570) 420-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

230 Independence Rd
East Stroudsburg, PA 18301-9447

Mailing address

230 Independence Rd
East Stroudsburg, PA 18301-9447
Phone (570) 420-1955

Other identifiers 1

IdentifierTypeStateIssuer
0014216420003MedicaidPA

Other names 1

  • MRI Diagnostic Imaging Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1952365595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019447",
            "telephone_number": "570-420-1955",
            "fax_number": "570-424-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019447",
            "telephone_number": "570-420-1955",
            "fax_number": "570-424-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE REHAB & PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "VEGARI",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "570-420-1955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014216420003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Diagnostic Imaging Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 26, 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.

Verify at the official NPI Registry.