1. Home
  2. Directory
  3. Pennsylvania
  4. Wilkes Barre
  5. Internal Medicine
  6. NPI Profile

WYOMING VALLEY AIDS COUNCIL
NPI 1588080824
Internal Medicine - Infectious Disease in Wilkes Barre, PA

Active since March 11, 2014CLIA 39D2076400 · Waiver
330 BOWMAN ST, UNIT 1, WILKES BARRE, PA 18702(570) 823-5808(570) 970-2717 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2024, Jul 24, 2019 (2 updates tracked since 2019).

About Wyoming Valley Aids Council NPPES

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

WYOMING VALLEY AIDS COUNCIL (NPI 1588080824) is a healthcare organization registered as an infectious disease in Wilkes Barre, Pennsylvania and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 16, 2028, maintains 4 additional practice locations, and lists Kenneth Zula, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1588080824
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameWYOMING VALLEY AIDS COUNCIL
Location Address330 BOWMAN ST, UNIT 1Wilkes Barre, PA 18702-5448
Mailing Address330 Bowman St, Unit 1Wilkes Barre, PA 18702-5448 · (570) 823-5808 · Fax (570) 970-2717
Phone(570) 823-5808
Fax(570) 970-2717
Organization SubpartNo
Authorized OfficialKenneth ZulaExecutive Director · (570) 823-5808
Enumeration DateMarch 11, 2014
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1588080824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedCase ManagementTaxonomy 251B00000X
330 BOWMAN ST, Wilkes Barre, PA 18702
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1426 Airport Rd Ste 130Hazle Township, PA 18202-3361 · Phone (570) 459-6030 · Fax (570) 459-6206
Location 2250 Old River Rd Ste CWilkes Barre, PA 18702-1611 · Phone (570) 852-8575 · Fax (570) 852-5885
Location 3201 Franklin Ave Ste 3Scranton, PA 18503-1947 · Phone (570) 800-7465 · Fax (570) 800-7474
Location 41 Kim Ave Ste 3Tunkhannock, PA 18657-9101 · Phone (570) 996-6555 · Fax (570) 966-6557

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 39D2076400

Wyoming Valley Aids Council, Inc · Wilkes Barre, PA
Active · expires Apr 16, 2028
CLIA Number39D2076400
Laboratory TypeAids Service Org
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorDr. Militza E. Suarez-Favetta
Laboratory Phone(570) 823-5808
Laboratory LocationWyoming Valley Aids Council, Inc330 Bowman Street Unit 1, Wilkes Barre, PA 18702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MEGAN MARGAVAGE RN
Case Management
330 BOWMAN ST, UNIT 1
WILKES BARRE, PA 18702
Luzerne County (570) 823-5808
MATTHEW SEMANISION
Social Worker (Clinical)
330 BOWMAN ST, UNIT 1
WILKES BARRE, PA 18702
Luzerne County (570) 823-5808
BRADEN BEAMER BS
Case Management
330 BOWMAN ST, UNIT 1
WILKES BARRE, PA 18702
Luzerne County (570) 823-5808

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 Wyoming Valley Aids Council's NPI number?

The NPI number for Wyoming Valley Aids Council is 1588080824. It was assigned to this organization in the NPPES registry on March 11, 2014.

Where is Wyoming Valley Aids Council located?

Wyoming Valley Aids Council is located at 330 Bowman St Unit 1, Wilkes Barre, PA 18702. The listed phone number is (570) 823-5808.

What is Wyoming Valley Aids Council's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Does Wyoming Valley Aids Council hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2076400) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wyoming Valley Aids Council accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Wyoming Valley Aids Council 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 Wyoming Valley Aids Council was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.