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POCONO ADULT & PEDIATRIC MEDICAL GROUP LLC
NPI 1144251745
Family Medicine in East Stroudsburg, PA

Active since July 05, 2006CLIA 39D2179404 · Waiver
302 E BROWN ST, SUITE A, EAST STROUDSBURG, PA 18301(570) 476-4161(570) 476-9954 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pocono Adult & Pediatric Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POCONO ADULT & PEDIATRIC MEDICAL GROUP LLC (NPI 1144251745) is a healthcare organization registered as a family medicine in East Stroudsburg, Pennsylvania and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Solibe Chikaodili Ufondu, Owner, as its authorized official.

NPPES Registry Identity

NPI1144251745
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOCONO ADULT & PEDIATRIC MEDICAL GROUP LLC
Location Address302 E BROWN ST, SUITE AEast Stroudsburg, PA 18301-3010
Mailing Address302 E Brown St, Suite AEast Stroudsburg, PA 18301-3010 · (570) 476-4161 · Fax (570) 476-9954
Phone(570) 476-4161
Fax(570) 476-9954
Organization SubpartNo
Authorized OfficialSolibe Chikaodili UfonduOwner · (570) 476-4161
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 15, 2016
✔ NPI 1144251745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD062479L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPediatricsTaxonomy 208000000X · License MD062320L (PA)
302 E BROWN ST, East Stroudsburg, PA 18301
Open in Google Maps ↗

Other Identifiers 1

Other001318932PA · Highmark

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pocono Adult & Pediatric Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pocono Adult & Pediatric Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Solibe Ufondu, MD
Family Practice
NPI 1548232523
302 E BROWN ST STE A
East Stroudsburg, PA 18301
(570) 476-4161
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2179404

Pocono Adult & Pediatric Medical Group, LLC · East Stroudsburg, PA
Active · expires Feb 23, 2028
CLIA Number39D2179404
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorDr. Solibe C. Ufondu
Laboratory Phone(570) 476-4161
Laboratory LocationPocono Adult & Pediatric Medical Group, LLC302 East Brown Street, Ste A, East Stroudsburg, PA 18301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pocono Adult & Pediatric Medical Group LLC's NPI number?

The NPI number for Pocono Adult & Pediatric Medical Group LLC is 1144251745. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Pocono Adult & Pediatric Medical Group LLC located?

Pocono Adult & Pediatric Medical Group LLC is located at 302 E Brown St Suite A, East Stroudsburg, PA 18301. The listed phone number is (570) 476-4161.

What is Pocono Adult & Pediatric Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pocono Adult & Pediatric Medical Group LLC enrolled in Medicare?

Yes. Pocono Adult & Pediatric Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pocono Adult & Pediatric Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pocono Adult & Pediatric Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pocono Adult & Pediatric Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2179404) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pocono Adult & Pediatric Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pocono Adult & Pediatric Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pocono Adult & Pediatric Medical Group LLC was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.