Neurosurgery & Pain Rehabilitation Center

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD042667L Issued in PA

Legal business name

NEUROSURGERY & PAIN REHABILITATION CENTER

Practice address

100 Eaglesmere Cir
200A
East Stroudsburg, PA 18301-3144

Phone

(570) 421-8772

Fax

(570) 421-8775

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Rodrigo Estonilo

Title

Director

Phone

(570) 421-8772

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rodrigo M Estonilo, MD Doing business as

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1992980791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAGLESMERE CIR",
            "address_2": "200A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013144",
            "telephone_number": "570-421-8772",
            "fax_number": "570-421-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLESMERE CIR",
            "address_2": "200A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013144",
            "telephone_number": "570-421-8772",
            "fax_number": "570-421-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY & PAIN REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "ESTONILO",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-421-8772"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD042667L",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD042667L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020667750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodrigo M Estonilo, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald J Negvesky, MD
• Cassia Nelson, LPC
• Marthe Nelson, CRNP
• Randy Neri
• Neurology Center
• New Day Pain & Spine Specialists LLC
• New Horizon Medical LLC
• Timothy Ngoge
• Vladimir Nikiforouk, M.D.
• Michael Carlo Nilo, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.