COMMONWEALTH PHYSICIAN NETWORK LLC
NPI 1003238635
Internal Medicine in Kingston, PA

Active since January 16, 2014CLIA 39D0193231 · Waiver
610 WYOMING AVE, KINGSTON, PA 18704(570) 288-5441(570) 288-9613 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jan 25, 2022, Sep 21, 2021 (3 updates tracked since 2021).

About Commonwealth Physician Network Llc NPPES

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

COMMONWEALTH PHYSICIAN NETWORK LLC (NPI 1003238635) is a healthcare organization registered as an internal medicine in Kingston, Pennsylvania and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Kristina Music, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1003238635
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOMMONWEALTH PHYSICIAN NETWORK LLC
Location Address610 WYOMING AVEKingston, PA 18704-3702
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000 · Fax (615) 628-6877
Fax(570) 288-9613
Organization SubpartNo
Authorized OfficialKristina MusicDirector Provider Enrollment · (877) 892-9815
Enumeration DateJanuary 16, 2014
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1003238635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSurgeryTaxonomy 208600000X
610 WYOMING AVE, Kingston, PA 18704

Other Identifiers 1

Medicaid102897748 0001PA

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

Accepted 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 39D0193231

Commonwealth Health Physician Network · Kingston, PA
Active · expires Feb 3, 2028
CLIA Number39D0193231
Laboratory TypeIndependent
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorDr. Ira Vohra
Laboratory Phone(570) 288-5441
Laboratory LocationCommonwealth Health Physician Network610 Wyoming Avenue 2nd Floor, Kingston, PA 18704
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
610 WYOMING AVE, SUITE 1
KINGSTON, PA 18704
Internal Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Physician Assistant
610 WYOMING AVE
KINGSTON, PA 18704
Internal Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Internal Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Internal Medicine (Cardiovascular Disease)
610 WYOMING AVE
KINGSTON, PA 18704
Family Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Internal Medicine (Cardiovascular Disease)
610 WYOMING AVE
KINGSTON, PA 18704

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 Commonwealth Physician Network LLC's NPI number?

The NPI number for Commonwealth Physician Network LLC is 1003238635. It was assigned to this organization in the NPPES registry on January 16, 2014.

Where is Commonwealth Physician Network LLC located?

Commonwealth Physician Network LLC is located at 610 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 288-5441.

What is Commonwealth Physician Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Commonwealth Physician Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0193231) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Commonwealth Physician Network LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Commonwealth Physician Network 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 Commonwealth Physician Network LLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.