Commonwealth Physician Network LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMMONWEALTH PHYSICIAN NETWORK LLC

Practice address

610 Wyoming Ave
Kingston, PA 18704-3702

Phone

(570) 288-5441

Fax

(570) 288-9613

NPI assigned

Jan 16, 2014

Last updated

Jul 9, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristina Music

Title

Director Provider Enrollment

Phone

(877) 892-9815

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Juliette Adajar, M.D.

  • Internal Medicine Physician
  • Mountain Top, PA
  • NPI 1114932829
  Medicare reassignment Care Compare group NPD
• Nehal Mohammed Aleemuddin, M.D.

  • Family Medicine Physician
  • Shavertown, PA
  • NPI 1518321082
  Medicare reassignment Care Compare group NPD
• Essam M Almeky, MD

  • Family Medicine Physician
  • Shavertown, PA
  • NPI 1548442684
  Medicare reassignment Care Compare group NPD
• Javid Rohullah Amini, M.D.

  • Cardiovascular Disease Physician
  • Kingston, PA
  • NPI 1689609638
  Medicare reassignment Care Compare group NPD
• Lanning Albert Anselmi, MD

  • Family Medicine Physician
  • Shavertown, PA
  • NPI 1932112638
  Medicare reassignment Care Compare group NPD
• Michael Vito Brown, M.D.

  • Family Medicine Physician
  • Shavertown, PA
  • NPI 1386809283
  Medicare reassignment Care Compare group NPD
• Jacqueline Cain, DO

  • Internal Medicine Physician
  • Kingston, PA
  • NPI 1891708533
  Medicare reassignment Care Compare group NPD
• Jodi A Calabro, CRNP

  • Nurse Practitioner
  • Wilkes Barre, PA
  • NPI 1518062595
  Medicare reassignment Care Compare group NPD
• Devin Carey, M.D.

  • Family Medicine Physician
  • Shavertown, PA
  • NPI 1366822504
  Medicare reassignment Care Compare group NPD
• William P Charlton, MD

  • Orthopaedic Surgery Physician
  • Kingston, PA
  • NPI 1205848462
  Medicare reassignment Care Compare group NPD
• Juan J Derojas, M.D.

  • Vascular Surgery Physician
  • Plains, PA
  • NPI 1073581013
  Medicare reassignment Care Compare group NPD
• Daniel John Dudrick, M.D.

  • Family Medicine Physician
  • Mountain Top, PA
  • NPI 1003825506
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1003238635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7000",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PHYSICIAN NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.