NORTHEAST KNEE AND JOINT INSTITUTE, LLC.
NPI 1689187072
Physical Medicine & Rehabilitation in Dallas, PA
About Northeast Knee And Joint Institute, Llc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST KNEE AND JOINT INSTITUTE, LLC. (NPI 1689187072) is a healthcare organization registered as a physical medicine & rehabilitation in Dallas, Pennsylvania and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Williamsport and lists Edwin Roman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeast Knee And Joint Institute, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Northeast Knee And Joint Institute, LLC., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Northeast Knee And Joint Institute, LLC.'s NPI number?
The NPI number for Northeast Knee And Joint Institute, LLC. is 1689187072. It was assigned to this organization in the NPPES registry on November 8, 2017.
Where is Northeast Knee And Joint Institute, LLC. located?
Northeast Knee And Joint Institute, LLC. is located at 3832 Yalick Plaza Route 415 Unit 7, Dallas, PA 18612. The listed phone number is (570) 213-5221.
What is Northeast Knee And Joint Institute, LLC.'s specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Northeast Knee And Joint Institute, LLC. enrolled in Medicare?
Yes. Northeast Knee And Joint Institute, LLC. is registered in the Medicare PECOS enrollment system.
When is Northeast Knee And Joint Institute, LLC.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Pennsylvania, Physician - Physical, Rehabilitation) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northeast Knee And Joint Institute, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Northeast Knee And Joint Institute, LLC., in Family Practice, Internal Medicine, Nurse Practitioner, Obstetrics/Gynecology and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Northeast Knee And Joint Institute, LLC. was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.