1. Home
  2. Directory
  3. Pennsylvania
  4. Carbondale
  5. Specialist
  6. NPI Profile

LINCOLN AVE MEDICAL
NPI 1083092720
Specialist in Carbondale, PA

Active since May 14, 2015
100 LINCOLN AVE, CARBONDALE, PA 18407(570) 284-5100(570) 284-5103 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lincoln Ave Medical NPPES

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

LINCOLN AVE MEDICAL (NPI 1083092720) is a healthcare organization registered as a specialist in Carbondale, Pennsylvania and active in the NPI registry since May 2015. The organization maintains a secondary practice location in Carbondale and lists Christopher Hall, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1083092720
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLINCOLN AVE MEDICAL
Location Address100 LINCOLN AVECarbondale, PA 18407-2116
Mailing Address1802 Ne Jensen Beach BlvdJensen Beach, FL 34957-7234 · (772) 252-1235
Phone(570) 284-5100
Fax(570) 284-5103
Organization SubpartNo
Authorized OfficialChristopher HallDirector Of Billing · (772) 261-3422
Enumeration DateMay 14, 2015
Last NPPES UpdateDecember 27, 2019
✔ NPI 1083092720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 LINCOLN AVE, Carbondale, PA 18407
Open in Google Maps ↗

Secondary Practice Location 1

Location 1141 Salem AveCarbondale, PA 18407-2574 · Phone (772) 252-1235

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

Other Providers at the Same Location NPPES 19

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

PPE-KEYSTONE, P.C.
Emergency Medicine
100 LINCOLN AVE
CARBONDALE, PA 18407
Lackawanna County (570) 281-1004
DR. JOAN M ORLOSKI PH.D., DO
Emergency Medicine
100 LINCOLN AVE
CARBONDALE, PA 18407
Lackawanna County (570) 281-1485
MRS. ELSIE M ROCK CRNA
Nurse Anesthetist, Certified Registered
100 LINCOLN AVE
CARBONDALE, PA 18407
Lackawanna County (570) 281-1000
SCRANTON CARBONDALE IMAGING LLC
Radiology (Diagnostic Radiology)
100 LINCOLN AVE
CARBONDALE, PA 18407
Lackawanna County (570) 281-1315
JUST BELIEVE RECOVERY CENTER OF CARBONDALE
Substance Abuse Rehabilitation Facility
100 LINCOLN AVE
CARBONDALE, PA 18407
Lackawanna County (570) 284-5100
DR. TIMOTHY JOHN FARLEY M.D.
Radiology (Diagnostic Radiology)
100 LINCOLN AVE, RADIOLOGY DEPT
CARBONDALE, PA 18407
Lackawanna County (570) 281-1000
SENEN ALDAY
Anesthesiology
100 LINCOLN AVE
CARBONDALE, PA 18407
Lackawanna County (570) 346-7797
MARIAN COMMUNITY HOSPITAL
Clinic/Center (Ambulatory Surgical)
100 LINCOLN AVE
CARBONDALE, PA 18407
Lackawanna County (570) 281-1009

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 Lincoln Ave Medical's NPI number?

The NPI number for Lincoln Ave Medical is 1083092720. It was assigned to this organization in the NPPES registry on May 14, 2015.

Where is Lincoln Ave Medical located?

Lincoln Ave Medical is located at 100 Lincoln Ave, Carbondale, PA 18407. The listed phone number is (570) 284-5100.

What is Lincoln Ave Medical's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lincoln Ave Medical was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.