Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lincoln Ave Medical

Organization Specialist · NPI 1083092720

Lincoln Ave Medical is a Specialist in Carbondale, Pennsylvania. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

100 Lincoln Ave
Carbondale, PA 18407-2116
Phone: (570) 284-5100
Fax: (570) 284-5103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 141 Salem Ave, Carbondale, PA 18407-2574 — (772) 252-1235

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1083092720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Hall — Director Of Billing · (772) 261-3422
NPI enumeratedMay 14, 2015
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing address1802 Ne Jensen Beach Blvd, Jensen Beach, FL 34957-7234