Individual provider Active NPI

Matthew J Cellini, M.D.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1679919435
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD477832 Issued in PA
Practice address
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone
(570) 808-7762
Fax
(570) 808-6128
NPI assigned
May 20, 2013
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0086191 MD
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD477832 PA Primary

Addresses

Primary practice location

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC, PA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160907001090 VA Practitioner - Emergency Medicine 7719273440 Reassigns benefits to 1 organization
I20181025001534 MD Practitioner - Emergency Medicine 7719273440 Reassigns benefits to 2 organizations
I20210423000454 DC Practitioner - Emergency Medicine 7719273440 Reassigns benefits to 1 organization
I20230411002870 PA Practitioner - Emergency Medicine 7719273440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

273 Grandview Ave
Honesdale, PA 18431-1163
Phone (570) 390-4545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086191MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Jun 1, 2023 Accepting new patients
Wayne Memorial Hospital CurrentSince Jul 29, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Sep 20, 2018 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
WHC Emerg Phys CurrentSince Jan 16, 2019 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Mar 28, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jun 1, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2023 Accepting new patients
Wayne Memorial Hospital CurrentSince Jul 29, 2024 Accepting new patients
WHC Physician Group LLC CurrentSince Jan 16, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 20, 2018 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2023 Accepting new patients
Wayne Memorial Community Health Centers Emergency Medicine CurrentSince Mar 28, 2023 Accepting new patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients

Locations

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

20010 Century Blvd
Ste 200
Germantown, MD 20874

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

100 N Academy Ave
Danville, PA 17822

273 Grandview Ave
Honesdale, PA 18431
Phone (570) 390-4545

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

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

5001 Plank Rd
Fredericksburg, VA 22407
Phone (540) 498-4000

5005 Plank Rd
Fredericksburg, VA 22407
Phone (540) 736-6900

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1679919435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN DR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7762",
            "fax_number": "570-808-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELLINI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0086191",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD477832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.