NPIMap

Individual provider Active NPI

Raymond Joseph, M.D.

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1457333262
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-021137E Issued in PA
Practice address
165 Carey Ave
Wilkes Barre, PA 18702-2112
Phone
(570) 825-0770
Fax
(570) 825-0922
NPI assigned
Nov 17, 2005
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-021137E PA Primary
General Practice Physician 208D00000X MD021137E PA

Addresses

Primary practice location

165 Carey Ave
Wilkes Barre, PA 18702-2112

Mailing address

165 Carey Ave
Wilkes Barre, PA 18702-2112
Phone (570) 825-0770

Other identifiers 3

IdentifierTypeStateIssuer
0006009520002MedicaidPA
002744OtherPAFPH
14470OtherPAGHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000665 PA Practitioner - Internal Medicine 3476455825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

165 Carey Ave
Wilkes Barre, PA 18702-2112
Phone (570) 825-0770

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

506 Hazle St
Wilkes Barre, PA 18702-4646
Phone (570) 270-4366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-021137EPAMDInternal Medicine Physician
MD021137EPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond J Joseph MD LLC Internal Medicine CurrentSince May 15, 2018 Accepting new patients

Locations

165 Carey Ave
Wilkes Barre, PA 18702
Phone (570) 825-0770

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1457333262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CAREY AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022112",
            "telephone_number": "570-825-0770",
            "fax_number": "570-825-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAREY AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022112",
            "telephone_number": "570-825-0770",
            "fax_number": "570-825-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-021137E",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD021137E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006009520002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH",
            "identifier": "002744",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "14470",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.