Active NPI
Cathleen Ditton Mattos, DC
- Chiropractor
- East Stroudsburg, PA
National Provider Identifier
1962519173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-006904-R
- Practice address
- 8 Fox Run Lane
East Stroudsburg, PA 18301 - Phone
- (570) 223-1650
- Fax
- (570) 223-8235
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-006904-R | PA | Primary |
Addresses
Primary practice location
8 Fox Run Lane
East Stroudsburg, PA 18301
Mailing address
8 Fox Run Lane
East Stroudsburg, PA 18301
Phone (570) 223-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-006904-R | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Pathak MD LLC | Current | Accepting new patients | |
| Lehigh Valley Hospital Pocono | Past | Accepting new patients |
Locations
1592 Route 739
Dingmans Fry, PA 18328
Phone (570) 828-1900
1592 Route 739
Ste 1
Dingmans Fry, PA 18328
Phone (570) 828-8000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Dingmans Ferry, PA
- NPI 1841431418
-
- Community/Retail Pharmacy
- East Stroudsburg, PA
- NPI 1447772868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962519173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 FOX RUN LANE",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "18301",
"telephone_number": "570-223-1650",
"fax_number": "570-223-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 FOX RUN LANE",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "18301",
"telephone_number": "570-223-1650",
"fax_number": "570-223-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTOS",
"first_name": "CATHLEEN",
"middle_name": "DITTON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-006904-R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.