Active NPIOrganization

Pennsylvania Associates, LLC

Clinic/Center, Methadone Clinic in Mount Pocono, Pennsylvania

NPI Number1447580584
Practice location
1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344
Fax
570-839-7248
Last updated
July 23, 2026

Pennsylvania Associates, LLC is a healthcare organization based in Mount Pocono, PA. Pennsylvania Associates, LLC practices in Mount Pocono, PA. The NPI Number for Pennsylvania Associates, LLC is 1447580584 and holds a License No. 457036 (PA). The current practice location address for Pennsylvania Associates, LLC is 1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344 and can be reached out via phone at 570-839-7246 and via fax at 570-839-7248.

Provider Profile Details

NPI Number
1447580584
Provider Name
Pennsylvania Associates, LLC
Provider Entity Type
Organization
Address
1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344
Phone Number
570-839-7246
Fax Number
570-839-7248
Primary Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X
Organization Subpart
No
Authorized Official
Robyn Tanis · Executive Director Contract Mgmt · 856-533-8762
Other Names
Mount Pocono Medical (Doing Business As)
Provider Enumeration Date
January 13, 2010
Last Update Date
July 23, 2026
Certification Date
July 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1151 Mount Pocono Blvd
Suite 3
Mount Pocono, PA 18344
Zip
18344
Phone Number
570-839-7246
Fax Number
570-839-7248
Mount Pocono, PA 18344Get directions →

Provider Business Mailing Address Details

Address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
City
Mount Laurel
State
NJ
Zip
08054-2202
Phone Number
856-439-6111

License Information

License Number (1)
457036
License State (1)
PA
Taxonomy (1)
Clinic/Center, Methadone Clinic · 261QM2800X · Primary
Taxonomy (2)
Clinic/Center, Recovery Care · 261QR0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pennsylvania Associates, LLC?

The NPI number of Pennsylvania Associates, LLC is 1447580584. It was assigned on January 13, 2010 and is currently active in the NPPES registry.

What is the specialty of Pennsylvania Associates, LLC?

Pennsylvania Associates, LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in PA under license number 457036.

Where does Pennsylvania Associates, LLC practice?

The practice location is 1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344. The office can be reached at 570-839-7246 (phone) or 570-839-7248 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447580584 directly on the NPPES registry website.

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