Active NPI
Nei Ambulatory Surgery Center Inc PC
- Ambulatory Surgical Clinic/Center
- Scranton, PA
National Provider Identifier
1306958103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NEI AMBULATORY SURGERY CENTER INC PC
- Practice address
- 204 Mifflin Ave
Scranton, PA 18503 - Phone
- (570) 342-3145
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Pascetta
- Title
- Cfo
- Phone
- (860) 652-5002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
204 Mifflin Ave
Scranton, PA 18503
Mailing address
204 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303535 | Other | PA | HIGHMARK BLUE SHIELD |
| 069868 | Other | FIRST PRIORITY HEALTH | |
| 530966 | Other | PA | AETNA |
| 080011512060001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050211000340 | PA | Part B Supplier - Ambulatory Surgical Center | 0749232361 | Practice locations: Scranton, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Nei Ambulatory Surgery Center Inc PC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0894494 | Nei Ambulatory Surgery Center | Certificate of waiver | Nov 15, 2026 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1346215316
Member Of
Locations
204 Mifflin Ave
PA 18503
204 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Scranton, PA
- NPI 1376655126
-
- Ophthalmology Physician
- Scranton, PA
- NPI 1053362574
-
- Ophthalmology Physician
- Scranton, PA
- NPI 1952413791
-
- Ophthalmology Physician
- Scranton, PA
- NPI 1174635924
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Scranton, PA
- NPI 1821232265
-
- Ophthalmology Physician
- Scranton, PA
- NPI 1922110766
-
- Ophthalmology Physician
- Scranton, PA
- NPI 1003918475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1306958103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-342-3145",
"fax_number": "570-342-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-342-3145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEI AMBULATORY SURGERY CENTER INC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "PASCETTA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "860-652-5002"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "303535",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "069868",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "530966",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080011512060001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.