NPIMap

Organization Active NPI

Wilkes Barre Scranton Chiropractic and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Kingston, PA
National Provider Identifier
1891269130
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION
Practice address
258 Wyoming Ave
Kingston, PA 18704-3503
Phone
(570) 451-3404
Fax
(570) 451-3407
NPI assigned
Jan 21, 2019
Organization subpart
Yes
Parent organization
WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Christopher Yonki
Title
Owner
Phone
(570) 362-0165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

258 Wyoming Ave
Kingston, PA 18704-3503

Mailing address

98 Grove St
Dupont, PA 18641-2228
Phone (570) 451-3404

Other names 1

  • Kingston Office Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116002363 PA Part B Supplier - Clinic/Group Practice 0446596167 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dupont, PA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Wilkes Barre Scranton Chiropractic and Rehabilitation

Locations

258 Wyoming Ave
Kingston, PA 18704
Phone (570) 451-3404

Practitioners & affiliated clinicians

Practitioners 2

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": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1891269130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 GROVE ST",
            "city": "DUPONT",
            "state": "PA",
            "postal_code": "186412228",
            "telephone_number": "570-451-3404",
            "fax_number": "570-451-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043503",
            "telephone_number": "570-451-3404",
            "fax_number": "570-451-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES BARRE SCRANTON CHIROPRACTIC AND REHABILITATION",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "YONKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-362-0165"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingston Office",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kingston Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.