Unknown Individual – Internal Medicine Physician, NPI 1851359418
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
25 CHURCH ST
WILKES BARRE, PA 187023507
Phone: (570) 808-3100
Fax: (570) 808-8935
Type: Location
7, Kinglet Avenue, Ryan Meadows, Marlboro Township, Monmouth County, New Jersey, 07746, United States
MARLBORO, NJ 077462502
Phone: (877) 849-4917
Fax: (877) 949-4917
Type: Mailing
102-30, Queens Boulevard, Forest Hills, Queens, Queens County, New York, 11375, United States
FOREST HILLS, NY 113753196
Phone: (877) 849-4917
Fax: (877) 949-4917
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 176 | 168 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 93 | $0 |
Insurance plans in this area (ZIP 17822)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | NY | 73110 | X-ray of wrist, minimum of 3 views | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| Family Practice | IL | |
| Nurse Practitioner | NJ | |
| - | PA | |
| - | NJ | |
| Family Practice | PA | |
| - | SC | |
| - | NJ | |
| - | NJ | |
| - | FL |
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