GEISINGER CLINIC
NPI 1023616471
Internal Medicine in Jersey Shore, PA

Active since October 16, 2020CLIA 39D2180574 · Waiver
1020 THOMPSON ST, JERSEY SHORE, PA 17740(570) 398-1991(570) 398-4607 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2021, Oct 16, 2020 (2 updates tracked since 2020).

About Geisinger Clinic NPPES

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

GEISINGER CLINIC (NPI 1023616471) is a healthcare organization registered as an internal medicine in Jersey Shore, Pennsylvania and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 16, 2028, maintains a secondary practice location in Jersey Shore, and lists Cindy L Mull, Director, as its authorized official.

NPPES Registry Identity

NPI1023616471
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGEISINGER CLINIC
Location Address1020 THOMPSON STJersey Shore, PA 17740-1729
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 398-4607
Organization SubpartNo
Authorized OfficialCindy L MullDirector · (570) 271-6603
Enumeration DateOctober 16, 2020
Last NPPES UpdateJune 28, 20212 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1023616471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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
1020 THOMPSON ST, Jersey Shore, PA 17740

Secondary Practice Location 1

Location 1116 Kerr AveJersey Shore, PA 17740-1751 · Phone (570) 398-1800 · Fax (570) 398-3320

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 39D2180574

Geisinger Jersey Shore Clinic · Jersey Shore, PA
Active · expires Mar 16, 2028
CLIA Number39D2180574
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDr. Ronald N. Eister
Laboratory Phone(570) 398-1991
Laboratory LocationGeisinger Jersey Shore Clinic1020 Thompson Street, Jersey Shore, PA 17740
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 20

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

Hospitalist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Occupational Therapist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Dietitian, Registered
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Pharmacist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Nurse Anesthetist, Certified Registered
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Occupational Therapist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Physician Assistant
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Nurse Practitioner
1020 THOMPSON ST
JERSEY SHORE, PA 17740

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 Geisinger Clinic's NPI number?

The NPI number for Geisinger Clinic is 1023616471. It was assigned to this organization in the NPPES registry on October 16, 2020.

Where is Geisinger Clinic located?

Geisinger Clinic is located at 1020 Thompson St, Jersey Shore, PA 17740. The listed phone number is (570) 398-1991.

What is Geisinger Clinic's specialty?

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

Does Geisinger Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2180574) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Geisinger Clinic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Geisinger Clinic 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 Geisinger Clinic was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.