PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC
NPI 1629174842
Specialist in Moosic, PA

Q: What is Penn Neurology And Psychiatry Associates, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 15, 2006

340 MONTAGE MOUNTAIN RD, SUITE D, MOOSIC, PA 18507(570) 909-9411(866) 259-6004 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Penn Neurology And Psychiatry Associates, Pc NPPES

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

PENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC (NPI 1629174842) is a healthcare organization registered as a specialist in Moosic, Pennsylvania and active in the NPI registry since September 2006. The organization lists Iqbal Khan, President, as its authorized official.

NPPES Registry Identity

NPI1629174842

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePENN NEUROLOGY AND PSYCHIATRY ASSOCIATES, PC

Location Address340 MONTAGE MOUNTAIN RD, SUITE DMoosic, PA 18507-1782

Mailing Address340 Montage Mountain Rd, Suite DMoosic, PA 18507-1782 · (570) 909-9411 · Fax (866) 259-6004

Phone(570) 909-9411

Fax(866) 259-6004

Organization SubpartNo

Authorized OfficialIqbal KhanPresident · (570) 909-9411

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJune 29, 2015

✔ NPI 1629174842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in PA · MD052377L✔ Licensed in PA · MD065153L

Definition

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.

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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Other Identifiers 2

Medicaid1011631480001PA

Medicare UPIN083044

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penn Neurology And Psychiatry Associates, Pc 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 Penn Neurology And Psychiatry Associates, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Iqbal Khan, M.D.

Neurology

NPI 1083603062

30 ED PREATE DR # 109
Moosic, PA 18507

(570) 678-2588

✔ PECOS✔ Accepts Medicare1.0 mi

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

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 Penn Neurology And Psychiatry Associates, PC's NPI number?

The NPI number for Penn Neurology And Psychiatry Associates, PC is 1629174842. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Penn Neurology And Psychiatry Associates, PC located?

Penn Neurology And Psychiatry Associates, PC is located at 340 Montage Mountain Rd Suite D, Moosic, PA 18507. The listed phone number is (570) 909-9411.

What is Penn Neurology And Psychiatry Associates, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Penn Neurology And Psychiatry Associates, PC enrolled in Medicare?

Yes. Penn Neurology And Psychiatry Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penn Neurology And Psychiatry Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Penn Neurology And Psychiatry Associates, PC. 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.

When was this NPI record last updated?

The NPPES record for Penn Neurology And Psychiatry Associates, PC was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.