OrganizationActive
Lincoln Ave Medical
NPI 1083092720 · Specialist · Carbondale, PA
Lincoln Ave Medical is a Specialist organization in Carbondale, PA (NPI 1083092720).
Provider details
- NPI number
- 1083092720
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Hall, Director of Billing(772) 261-3422
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Lincoln Ave
Carbondale, PA 18407-2116
Phone: (570) 284-5100
Fax: (570) 284-5103
Street-level locationGet directions
Mailing address
1802 Ne Jensen Beach Blvd
Jensen Beach, FL 34957-7234
Additional practice locations (1)
- 141 Salem AveCarbondale, PA 18407-2574Phone: (772) 252-1235
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Frequently asked questions
- What is Lincoln Ave Medical's NPI number?
- Lincoln Ave Medical's National Provider Identifier (NPI) is 1083092720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lincoln Ave Medical?
- Lincoln Ave Medical is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lincoln Ave Medical located?
- Lincoln Ave Medical's practice location on file with NPPES is 100 Lincoln Ave, Carbondale, PA 18407-2116.
- What is Lincoln Ave Medical's phone number?
- The practice phone number listed in the NPPES registry for Lincoln Ave Medical is (570) 284-5100.
- Who is the authorized official for Lincoln Ave Medical?
- The authorized official listed on Lincoln Ave Medical's NPPES record is Christopher Hall, Director of Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lincoln Ave Medical's NPI active?
- Yes — Lincoln Ave Medical's NPI (1083092720) is active in the NPPES registry as of the last update on 2019-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.