Joseph John Bolinsky III, PA-C
Physician Assistant, Medical in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1154399731
StatusActive
Last updated in NPPESNov 17, 2025
Details
- NPI
- 1154399731
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joseph John Bolinsky III
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2006
- Certification date
- Nov 17, 2025
- Last updated
- Nov 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA061345 | PA | Yes |
Practice location
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521
Mailing address
1111 E End BlvdWilkes Barre, PA 18711-0030
Phone 570-824-3521
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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