Northeast Health and Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTHEAST HEALTH AND WELLNESS

Doing business as

Northeast Health and Wellness

Practice address

4113 Birney Ave
Moosic, PA 18507-1301

Phone

(570) 330-0300

NPI assigned

Mar 19, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Para

Title

Ao

Phone

(570) 330-0300

Specialties & licenses 1

Addresses

Other names 1

• Northeast Health and Wellness Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1932785102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 BIRNEY AVE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071301",
            "telephone_number": "570-330-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BIRNEY AVE",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071301",
            "telephone_number": "570-330-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "PARA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "570-330-0300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Nallin, DC
• Kristie Marie Nardell, M.D.
• Kelsey Gail Nataupsky, LMFT
• Carri Newcomb
• Northeast Foot & Ankle Associates, LLC.
• Northeast Therapeutic Wellness Center
• Northeastern Rehabilitation Associates, PC (NERA Pain Center at Montage Mountain)
• Donna J O'Donnell, LPC
• Eugene O'Donnell, LCSW
• Jordyn O'Leary, PA-C

• Clinic/Center in Moosic, PA
• Providers in Moosic, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.