NPIMap

Organization Active NPI

Wayne Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Honesdale, PA
National Provider Identifier
1679500334
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
230501 Issued in PA
Legal business name
WAYNE MEMORIAL HOSPITAL
Practice address
601 Park Street
Honesdale, PA 18431
Phone
(570) 253-8100
Fax
(570) 253-8425
NPI assigned
Jun 27, 2006
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Patricia Ann Dunsinger
Title
Chief Financial Officer
Phone
(570) 253-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 230501 PA Primary

Addresses

Primary practice location

601 Park Street
Honesdale, PA 18431

Mailing address

601 Park Street
Honesdale, PA 18431
Phone (570) 253-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000052 PA Part A Provider - Hospital 4082522149 Practice locations: Honesdale, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679500334. Details of each certification follow.

Hospital certification: CCN 39U125

Legal name
WAYNE MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 9, 1907 in PA
Enrollment address
601 Park Street
Honesdale, PA 18431-1498
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wayne Memorial Hospital16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Dunsinger Individual Corporate Officer Jan 1, 2019
James Hockenbury Individual W-2 Managing EmployeeDirector Ancillary Services Jan 1, 2003
Sylvia Kingston Individual Corporate OfficerCorporate Officer Jun 1, 2025
Margarete Zalon Individual Corporate OfficerCorporate Officer Jun 1, 2025
Sean Kevin McVeigh Individual Corporate Director Jul 1, 2019
Katherine Bryant Individual Corporate OfficerCorporate Officer Jun 1, 2025
Elizabeth de Maye Demaye-Caruth Individual Corporate OfficerCorporate Officer Jun 1, 2025
Michael Brundage Individual Corporate OfficerCorporate Officer Nov 1, 2025
James Pettinato Individual W-2 Managing EmployeeDirector Patient Care Services Mar 24, 2015
Sibyl Jane Rickard Individual Corporate OfficerCorporate Officer Jun 1, 2025
Diane Popovich Individual Corporate OfficerCorporate Officer Jun 1, 2025
Jason Zielinski Individual Corporate OfficerCorporate Officer Jun 1, 2025
Robert Non Individual Corporate OfficerCorporate Officer Jun 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1679500334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK STREET",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "18431",
            "telephone_number": "570-253-8100",
            "fax_number": "570-253-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PARK STREET",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "18431",
            "telephone_number": "570-253-8100",
            "fax_number": "570-253-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "DUNSINGER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "570-253-8133"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "PA",
            "license": "230501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.