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BLUE RIDGE MEDICAL CENTER
NPI 1164775342
Nurse Practitioner - Family in New Milford, PA

Active since October 25, 2012
433 CHURCH ST, NEW MILFORD, PA 18834(570) 465-4500(570) 465-4501 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Ridge Medical Center NPPES

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

BLUE RIDGE MEDICAL CENTER (NPI 1164775342) is a healthcare organization registered as a family in New Milford, Pennsylvania and active in the NPI registry since October 2012. The organization lists Nichole Rosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1164775342
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLUE RIDGE MEDICAL CENTER
Location Address433 CHURCH STNew Milford, PA 18834-6603
Mailing Address433 Church St, P.o. Box 602New Milford, PA 18834-6603 · (570) 465-4500 · Fax (570) 465-4501
Phone(570) 465-4500
Fax(570) 465-4501
Organization SubpartNo
Authorized OfficialNichole RosaOwner · (607) 237-1209
Enumeration DateOctober 25, 2012
✔ NPI 1164775342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP009050
Also ListedPodiatristTaxonomy 213E00000X · License BM2828929 (PA)
433 CHURCH ST, New Milford, PA 18834
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLE A ROSA CRNP
Nurse Practitioner (Family)
433 CHURCH ST
NEW MILFORD, PA 18834
Susquehanna County (570) 465-4500
BARNES-KASSON COUNTY HOSPITAL
Clinic/Center (Rural Health)
433 CHURCH ST
NEW MILFORD, PA 18834
Susquehanna County (570) 465-7330
DR. PATRICK ARNOLD MACCONNELL DPM
Podiatrist
433 CHURCH ST
NEW MILFORD, PA 18834
Susquehanna County (570) 456-4500

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 Blue Ridge Medical Center's NPI number?

The NPI number for Blue Ridge Medical Center is 1164775342. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Blue Ridge Medical Center located?

Blue Ridge Medical Center is located at 433 Church St, New Milford, PA 18834. The listed phone number is (570) 465-4500.

What is Blue Ridge Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Center was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.