POCONO SURGICAL ASSOCIATES
NPI 1245311067
Specialist in East Stroudsburg, PA

Active since October 18, 2006
391 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-5997(570) 421-7635 Get Directions Write a Review

NPPES record last updated: March 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About POCONO SURGICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Pocono Surgical Associates, a provider established in East Stroudsburg, Pennsylvania operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1245311067 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number MD028193E (PA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Boris Paul M.d. (Owner)

NPI
1245311067 Verify this NPI
Provider Name
POCONO SURGICAL ASSOCIATES
Entity Type
Organization
Location Address
391 E BROWN ST EAST STROUDSBURG, PA 18301
Location Phone
(570) 421-5997
Location Fax
(570) 421-7635
Mailing Address
391 E BROWN ST EAST STROUDSBURG, PA 18301
Mailing Phone
(570) 421-5997
Mailing Fax
(570) 421-7635
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2006
Last Update Date
03-02-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD028193E
License State
PA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BORIS PAUL M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(570) 421-5997

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C33877MEDICARE UPIN (02)PA 
4176220001MEDICARE NSC (07)PA 
118962MEDICARE ID-TYPE UNSPECIFIED (04)PAMEDICARE PROVIDER ID
0011526240007MEDICAID (05)PA 

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Pain Medicine)
391 E BROWN ST
EAST STROUDSBURG, PA 18301
Anesthesiology (Pain Medicine)
391 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Medical)
391 E BROWN ST
EAST STROUDSBURG, PA 18301
Behavior Analyst
391 E BROWN ST
EAST STROUDSBURG, PA 18301
Specialist
391 E BROWN ST
EAST STROUDSBURG, PA 18301
Physical Medicine & Rehabilitation (Pain Medicine)
391 E BROWN ST
EAST STROUDSBURG, PA 18301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245311067, enumerated as an "organization" on October 18, 2006.

The provider is located at 391 E BROWN ST EAST STROUDSBURG, PA 18301 and the phone number is (570) 421-5997.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.