NPIMap

Individual provider Active NPI

Joseph Briskie Jr., DO

  • Cardiovascular Disease Physician
  • Wilkes Barre, PA
National Provider Identifier
1548248396
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS009449L Issued in PA
Practice address
142 Mundy St
Wilkes Barre, PA 18702-6875
Phone
(570) 825-7700
Fax
(570) 825-5505
NPI assigned
Jan 3, 2006
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS009449L PA Primary

Addresses

Primary practice location

142 Mundy St
Wilkes Barre, PA 18702-6875

Mailing address

667 N River Street Ste 201
Plains, PA 18705-1013
Phone (570) 824-9847

Other identifiers 1

IdentifierTypeStateIssuer
0016463100011MedicaidPA

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
I20040203000846 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7315830494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Pennsylvania Cardiology Associates LLPGroup PAC ID 1052384658, 6 clinicians

Practice addresses (Care Compare)

667 S River St
Suite 201
Plains, PA 18705-1012
Phone (570) 823-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009449LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Pennsylvania Cardiology Associates LLP Cardiovascular Disease CurrentSince Apr 1, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jun 3, 2009 Accepting new patients
Geisinger Clinic CurrentSince Jun 3, 2009 Accepting new patients
Nuclear Imaging Associates of Hazelton, PC Past Accepting new patients
United Health and Hospital Services, Inc. Past Accepting new patients
Imaging Associates of Hazleton PC PastSince Nov 15, 2001 Accepting new patients

Locations

439 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-1444

100 N Academy Ave
Danville, PA 17822

667 S River St
Ste 201
Plains, PA 18705
Phone (570) 823-1111

8 Church St
Ste 310
Wilkes Barre, PA 18702
Phone (570) 819-2825

Organizations & group practices 8

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1548248396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 N RIVER STREET STE 201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051013",
            "telephone_number": "570-824-9847",
            "fax_number": "570-824-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MUNDY ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026875",
            "telephone_number": "570-825-7700",
            "fax_number": "570-825-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISKIE",
        "first_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS009449L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016463100011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.