Organization
NORTHEASTERN REHABILITATION ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MONAHAN-GATTO (CEO)
(570) 344-3788
Entity
Organization
Contact information
Practice address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Mailing address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001252657-0006
—
PA
01
—
0474468000
KEYSTONE EAST
PA
01
—
1067
GEISINGER
PA
01
—
20022351
AMERIHEALTH
PA
01
—
534357
AETNA
PA
01
—
643767
BLUE CARE/HIGHMARK BLUE SHIELD
PA
01
—
68718
UNISON
PA
01
—
68719
THREE RIVERS
PA
01
—
CF8495
RAILROAD MEDICARE
PA
Enumeration date
05/16/2006
Last updated
09/17/2024
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