Northeast Knee and Joint Institute, LLC.
NPI 1689187072 · Physical Medicine & Rehabilitation Physician · Dallas, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Knee and Joint Institute, LLC. is a Physical Medicine & Rehabilitation Physician organization in Dallas, PA (NPI 1689187072).
Provider details
- NPI number
- 1689187072
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edwin Roman, Owner(570) 213-5221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Additional practice locations (1)
- 460 River AveWilliamsport, PA 17701-3723Phone: (570) 213-5221
Registry dates
- Enumerated
- 2017-11-08
- Last updated
- 2019-07-15
Frequently asked questions
- What is Northeast Knee and Joint Institute, LLC.'s NPI number?
- Northeast Knee and Joint Institute, LLC.'s National Provider Identifier (NPI) is 1689187072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Knee and Joint Institute, LLC.?
- Northeast Knee and Joint Institute, LLC. is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Knee and Joint Institute, LLC. located?
- Northeast Knee and Joint Institute, LLC.'s practice location on file with NPPES is 3832 Yalick Plaza Route 415, Dallas, PA 18612-7753.
- What is Northeast Knee and Joint Institute, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Northeast Knee and Joint Institute, LLC. is (570) 213-5221.
- Does Northeast Knee and Joint Institute, LLC. accept Medicare?
- Northeast Knee and Joint Institute, LLC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Knee and Joint Institute, LLC.?
- The authorized official listed on Northeast Knee and Joint Institute, LLC.'s NPPES record is Edwin Roman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Knee and Joint Institute, LLC.'s NPI active?
- Yes — Northeast Knee and Joint Institute, LLC.'s NPI (1689187072) is active in the NPPES registry as of the last update on 2019-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.