Sylvia M. Bolock, D.O.
Individual provider Active NPI Family Medicine Physician · Mount Pocono, PA
NPI 1730154824 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1730154824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS007419E (PA)
- Practice address
- 126 Market Way
Mount Pocono, PA 18344-1039 - Phone
- (570) 839-3633
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210623000810 | NJ | Practitioner - Family Practice | 0749176675 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007419E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Medical Group | Family Medicine | Current |
Accepting new patients |
Locations
1230 Parkway Ave
Ste 203
Ewing, NJ 08628
Phone (609) 883-5454
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
Interoperability endpoints
- sbolock44516@direct.geisinger.edu
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS007419E | PA | Yes |
Addresses
Primary practice location
126 Market Way
Mount Pocono, PA 18344-1039
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144
Other practice location 1
1230 Parkway Ave Ste 203
Ewing, NJ 08628-3018
Phone (609) 883-5454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001252890 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sylvia.bolock.1@12833.direct.athenahealth.com | Direct | |
| Direct Messaging Address | sbolock44516@direct.geisinger.edu | Direct |
Other providers in Mount Pocono, PA
- Christopher L. Bahara
- Makenzie Elizabeth Batt
- Lori Eileen Bertanzetti
- Best Vision Center Inc
- Paul W. Bisio
- Bracey'S Mount Pocono, Inc.
- Lisa Brown
- William Michael Burkit
- Ishima Q Butler
- Debora T Cantel
All providers in Mount Pocono, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.