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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PENNSYLVANIA ASSOCIATES, LLC
NPI 1447580584
Clinic/Center - Methadone in Mount Pocono, PA

Active since January 13, 2010CLIA 39D2127333 · Waiver
1151 MOUNT POCONO BLVD, SUITE 3, MOUNT POCONO, PA 18344(570) 839-7246(570) 839-7248 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Dec 6, 2019 (2 updates tracked since 2019).

About Pennsylvania Associates, Llc NPPES

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

PENNSYLVANIA ASSOCIATES, LLC (NPI 1447580584), doing business as Mount Pocono Medical, is a healthcare organization registered as a methadone in Mount Pocono, Pennsylvania and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Robyn Tanis, Executive Director Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1447580584
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePENNSYLVANIA ASSOCIATES, LLC
Location Address1151 MOUNT POCONO BLVD, SUITE 3Mount Pocono, PA 18344
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(570) 839-7246
Fax(570) 839-7248
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Contract Mgmt · (856) 533-8762
Enumeration DateJanuary 13, 2010
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1447580584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in PA · 457036
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
1151 MOUNT POCONO BLVD, Mount Pocono, PA 18344
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Other Names 1

Doing Business AsMount Pocono Medical

Other Identifiers 1

Other457036PA · Pa Department Of Health License Number

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 ›

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 39D2127333

Mount Pocono Medical · Mount Pocono, PA
Active · expires Mar 12, 2027
CLIA Number39D2127333
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorDr. Arielle J. Gerard
Laboratory Phone(570) 839-7246
Laboratory LocationMount Pocono Medical1151 Pocono Blvd, Suite 3, Mount Pocono, PA 18344
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
789 services22 patients

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 Pennsylvania Associates, LLC's NPI number?

The NPI number for Pennsylvania Associates, LLC is 1447580584. It was assigned to this organization in the NPPES registry on January 13, 2010. The provider is doing business as Mount Pocono Medical.

Where is Pennsylvania Associates, LLC located?

Pennsylvania Associates, LLC is located at 1151 Mount Pocono Blvd Suite 3, Mount Pocono, PA 18344. The listed phone number is (570) 839-7246.

What is Pennsylvania Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Pennsylvania Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2127333) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pennsylvania Associates, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pennsylvania Associates, 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 Pennsylvania Associates, LLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.