Organization Active NPI

Raymond Joseph MD

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1790879138
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD021137E Issued in PA
Legal business name
RAYMOND JOSEPH MD
Practice address
165 Carey Ave
Wilkes Barre, PA 18702-2112
Phone
(570) 825-0770
Fax
(570) 825-0922
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Raymond J Joseph, M.D.
Title
Owner
Phone
(570) 825-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD021137E PA Primary

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 1

IdentifierTypeStateIssuer
026148OtherPAFIRST PRIORITY HEALTH

Other names 1

  • Comunity Health Center NEPA Other name

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1790879138",
    "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": {
        "organization_name": "RAYMOND JOSEPH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-825-0770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021137E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "026148",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comunity Health Center NEPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.