OrganizationActive
Mo Medical Management Inc.
NPI 1083161970 · Multi-Specialty Clinic/Center · Kingston, PA
Provider details
- NPI number
- 1083161970
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Mertz, President(570) 288-4205
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
675 Wyoming Avenue
Kingston, PA 18704-3831
Phone: (570) 288-4205
Fax: (570) 288-4889
Approximate (ZIP-level) locationGet directions
Mailing address
675 Wyoming Avenue
Kingston, PA 18704-3831
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2016-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.