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

Wayne Memorial Community Health Centers

Organization Pediatrics Physician · NPI 1336416619

Wayne Memorial Community Health Centers provides Pediatrics Physician services in Carbondale, Pennsylvania. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

152 Brooklyn St
Carbondale, PA 18407-2208 Not confirmed with CMS for 14 years — call before visiting
Phone: (570) 282-2031
Fax: (570) 282-2534
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1336416619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Carbondale Pediatric Center
NPI enumeratedNovember 30, 2011
Last updated in NPPESNovember 30, 2011
Mailing address601 Park St, Honesdale, PA 18431-1445

Other providers in Carbondale