Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Medical Center

Organization Podiatrist · NPI 1164775342

Blue Ridge Medical Center is a Podiatrist 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
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