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

Northeast Knee and Joint Institute, LLC

Organization Family Medicine Physician · NPI 1689187072

Northeast Knee and Joint Institute, LLC is a Family Medicine Physician in Dallas, Pennsylvania. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3832 Yalick Plaza Route 415 Unit 7
Dallas, PA 18612-7753
Phone: (570) 213-5221
Fax: (570) 227-3316
Show map & directions

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

Additional practice locations (1)

  • 460 River Ave, Williamsport, PA 17701-3723 — (570) 213-5221

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Family Medicine Physician Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1689187072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwin Roman — Owner · (570) 213-5221
NPI enumeratedNovember 8, 2017
Last updated in NPPESJuly 15, 2019
Mailing addressPo Box 3367, Williamsport, PA 17701-0367

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