Active NPI
Post Acute Medical at Nanticoke LLC
Doing business as PAM Specialty Hospital of Scranton
- Long Term Care Hospital
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- POST ACUTE MEDICAL AT NANTICOKE LLC
- Doing business as
- PAM Specialty Hospital of Scranton
- Practice address
- 746 Jefferson Ave
2ND Floor
Scranton, PA 18510-1624 - Phone
- (570) 703-0220
- NPI assigned
- Jul 22, 2014
- Last updated
- Apr 4, 2016
- 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
- Anthony F Misitano
- Title
- President
- Phone
- (717) 731-9660
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Primary | ||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
746 Jefferson Ave
2ND Floor
Scranton, PA 18510-1624
Mailing address
1828 Good Hope Rd
Suite 102
Enola, PA 17025-1233
Phone (717) 731-9660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103067848-0001 | Medicaid | PA |
Other names 1
- PAM Specialty Hospital of Scranton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141027000841 | PA | Part A Provider - Hospital | 9032330501 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilkes-Barre, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649687633. Details of each certification follow.
Hospital certification: CCN 392025
- Legal name
- POST ACUTE MEDICAL AT NANTICOKE, LLC
- Doing business as
- PAM SPECIALTY HOSPITAL OF WILKES-BARRE
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jan 1, 1994
- Last certification
- Mar 26, 2024
- Beds
- 36
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Nov 3, 2014 (2 total)
- Organization structure
- LLC
- Incorporated
- Dec 19, 2013 in DE
- Enrollment address
- 575 North River St
7TH Floor
Wilkes-Barre, PA 18764-0999 - Hospital subgroups
- Long-term
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba PAM Specialty Hospital of Wilkes-Barre
- Long Term Care Hospital
- Wilkes Barre, PA
- NPI 1750798740
O20141027000841
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Pam Specialty Hospital of Wilkes-Barre
- Ownership
- For profit
- Certified
- Jan 1, 1994
- Medicare certification status
- Active
- Beds
- 36
National Provider Directory
National Provider DirectoryLocations
746 Jefferson Ave
Fl 2
Scranton, PA 18510
Phone (570) 703-0220
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ba Healthcare Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Nov 3, 2014 | 50% |
| Post Acute Medical, LLC | 5% Or Greater Direct Ownership Interest | Nov 3, 2014 | 100% |
| David Long | W-2 Managing Employee | Apr 17, 2019 | |
| Karick E Stober | Corporate Officer | Nov 3, 2014 | |
| Anthony F Misitano | 5% Or Greater Indirect Ownership Interest | Nov 3, 2014 | 50% |
| Corporate Officer | Nov 3, 2014 | ||
| Pam Cubed LLC | 5% Or Greater Indirect Ownership Interest | Jul 23, 2024 | 50% |
| John E Bauer | Corporate Officer | Nov 3, 2014 | |
| Wells Fargo Bank, N.a. | 5% Or Greater Security Interest | Jul 23, 2024 | |
| Post Acute Medical Management, LLC | Operational/Managerial Control | Nov 3, 2014 | |
| Brittany Misitano | 5% Or Greater Indirect Ownership Interest | Jul 23, 2024 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Scranton, PA
- NPI 1942289772
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Kingston, PA
- NPI 1750477139
Long-term care hospital
-
- Foot & Ankle Surgery Podiatrist
- Bryn Mawr, PA
- NPI 1447632294
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459728000000",
"number": "1649687633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 GOOD HOPE RD",
"address_2": "SUITE 102",
"city": "ENOLA",
"state": "PA",
"postal_code": "170251233",
"telephone_number": "717-731-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 JEFFERSON AVE",
"address_2": "2ND FLOOR",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101624",
"telephone_number": "570-703-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POST ACUTE MEDICAL AT NANTICOKE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-22",
"last_updated": "2016-04-04",
"status": "A",
"authorized_official_last_name": "MISITANO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-731-9660"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103067848-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PAM Specialty Hospital of Scranton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scranton, PA
- Georgette Ponce
- Nicholas Poplarchick, PTA
- Judith Ann Popso, MS, CRC
- Anthony Leonard Possanza, PHARMD
- Vincent Possanza, OD
- Anthony Francis Poyer, PHARMD
- Ponathpur K Prahalad, MD
- Donald L. Preate Jr., M.D.
- Precision Hearing Instruments,Inc (Sears Hearing Aid Center dba Miracle Ear Center)
- Keesha Predestin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.