Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Ridge Medical Center

Organization Podiatrist · NPI 1164775342

Blue Ridge Medical Center provides Podiatrist services in New Milford, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

433 Church St
New Milford, PA 18834-6603 Not confirmed with CMS for 13 years — call before visiting
Phone: (570) 465-4500
Fax: (570) 465-4501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP009050 (PA)
Podiatrist Taxonomy 213E00000X · Licence BM2828929 (PA)

Record details

NPI number1164775342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nichole Rosa — Owner · (607) 237-1209
NPI enumeratedOctober 25, 2012
Last updated in NPPESOctober 25, 2012
Mailing address433 Church St, P.O. Box 602, New Milford, PA 18834-6603

Other providers in New Milford