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Cleanslate Medical Group of Pennsylvania LLC

Multi-Specialty Clinic/Center in Wilkes Barre, PA · enumerated 2016 · authorized official Matthew Smolarek, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184177263

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Registry record

Entity type Organization (Type 2)
Legal business name Cleanslate Medical Group of Pennsylvania LLC
Practice address 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA, 18702
Phone (413) 584-2173
Fax (833) 279-7074
Enumeration date Jul 26, 2016
Last updated in NPPES Dec 17, 2025

Taxonomy & classification

207RA0401X Addiction Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Matthew Smolarek
Title Cfo
Phone (412) 999-5188

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-17. Verify at npiregistry.cms.hhs.gov.
Where is Cleanslate Medical Group of Pennsylvania LLC located?
The practice location on file with NPPES is in Wilkes Barre, PA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-17.