POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC


Address: 516 Jenna Dr, Brodheadsville, PA 18322-9801
Phone: 5709921600

POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC (NPI# 1447505235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447505235
Entity Type Organization
Organization Name POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC
Practice Address 516 Jenna Dr
Brodheadsville
PA 18322-9801
Mailing Address 3 Parkinsons Rd
East Stroudsburg
PA 18301-8087
Practice Telephone 5709921600
Practice Fax Number 5709921715
Mailing Telephone 5704248000
Mailing Fax Number 5705175100
Enumeration Date 2012-07-17
Last Update Date 2012-07-17
Authorized Official Name BHAVNA CHHABRIA (CEO)
Authorized Official Telephone 5705177393
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name POCONO MRI IMAGING AND DIAGNOSTIC CENTER, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851638092 Pocono Mri Imaging and Diagnostic Center, LLC Clinical Medical Laboratory 3 Parkinsons Rd, East Stroudsburg, PA 18301-8087 2013-01-08
1790030526 Pocono Mri Imaging and Diagnostic Center, LLC Psychiatry & Neurology 235 E Brown St, East Stroudsburg, PA 18301-8087 2012-07-18

Office Location

Street Address 516 JENNA DR
City BRODHEADSVILLE
State PA
Zip Code 18322-9801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497355341 Julia Majewicz Wilson Physician Assistant 111 Pa-715, #102, Brodheadsville, PA 18322 2020-10-29
1275165136 Jennifer Pagan Specialist/Technologist 575 Marion Lane, Brodheadsville, PA 18322 2020-02-09
1922577634 Kristen Rudelitch Pharmacist 924 Weir Lake Rd, Brodheadsville, PA 18322 2018-11-26
1295204915 Dale A. Mcfarland Pharmacist Rt 209 & Weir Lake Road, Brodheadsville, PA 18322 2018-11-26
1831640770 Marina Ann Reggetto-irizarry Physician Assistant 111 Route 715 Ste 102, Brodheadsville, PA 18322 2016-10-15
1144770033 Joseph Keglovits IIi Pharmacist 1707 Route 209, Brodheadsville, PA 18322 2016-10-04
1629454624 Katherine Sparrow Chiropractor 1807 Route 209, Brodheadsville, PA 18322 2015-08-03
1740548049 Catherine A Chincola Health Educator Route 209 and Weir Lake Road, Brodheadsville, PA 18322 2012-04-25
1396036679 Doris M Lane Pharmacist Rt S 209 & 115, Brodheadsville, PA 18322 2011-04-21
1982995361 Richard C Quigley Pharmacist Routes 209/115, Brodheadsville, PA 18322 2011-04-20
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922624584 Armstrong County Memorial Hospital Psychiatry & Neurology 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 2020-06-19
1174149975 Somerset Health Services, Inc. Psychiatry & Neurology 126 E Church St Ste 2300, Somerset, PA 15501-2272 2020-06-18
1730725771 Jbj Investments LLC Psychiatry & Neurology 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 2019-11-25
1619538865 Unknown Azima Shaji Psychiatry & Neurology St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 2019-06-27
1629636790 Catherine Rachel Craven Psychiatry & Neurology 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 2019-06-03
1073170569 Charles P. Gennaula, M.d., P.C. Psychiatry & Neurology 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 2019-05-21
1902460876 Pearlmed Pllc Psychiatry & Neurology 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 2019-04-26
1144787094 Shobha Asthana Md PC Psychiatry & Neurology 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 2019-02-27
1972060176 Ncv Diagnostics LLC Psychiatry & Neurology 1 Brown St Ste C, Philadelphia, PA 19123-3361 2019-02-23
1235609959 Lower Merion Neurology, PC Psychiatry & Neurology 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 2018-11-26
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Competitor

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City BRODHEADSVILLE
Zip Code 18322

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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