1. Home
  2. Directory
  3. Pennsylvania
  4. Wilkes Barre
  5. Clinic Center
  6. NPI Profile

PAIN CENTER OF WYOMING VALLEY, LLC
NPI 1629409578
Clinic/Center - Ambulatory Surgical in Wilkes Barre, PA

Active since December 03, 2013CLIA 39D2097048 · Waiver
142 MUNDY ST, WILKES BARRE, PA 18702(570) 270-5712(570) 270-2015 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Mar 30, 2023, Mar 23, 2023 and 1 more (4 updates tracked since 2015).

About Pain Center Of Wyoming Valley, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN CENTER OF WYOMING VALLEY, LLC (NPI 1629409578) is a healthcare organization registered as an ambulatory surgical in Wilkes Barre, Pennsylvania and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Amanda Ricca, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629409578
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePAIN CENTER OF WYOMING VALLEY, LLC
Location Address142 MUNDY STWilkes Barre, PA 18702-6875
Mailing Address1177 Highway 315 Blvd, Dolphin PlazaWilkes Barre, PA 18702-6928 · (570) 270-5712 · Fax (570) 270-5719
Phone(570) 270-5712
Fax(570) 270-2015
Organization SubpartNo
Authorized OfficialAmanda RiccaCeo · (570) 270-5700
Enumeration DateDecember 3, 2013
Last NPPES UpdateMay 4, 20234 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1629409578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in PA · 23881501
142 MUNDY ST, Wilkes Barre, PA 18702
Open in Google Maps ↗

Other Identifiers 1

Medicaid1030398800001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2097048

Pain Center Of Wyoming Valley · Wilkes Barre, PA
Active · expires Jun 7, 2027
CLIA Number39D2097048
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorDr. Joseph D. Paz Do
Laboratory Phone(570) 270-0570
Laboratory LocationPain Center Of Wyoming Valley142 Mundy St, Wilkes Barre, PA 18702
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
117 services55 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
58 services48 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
57 services26 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
37 services12 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
35 services25 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
30 services18 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH BRISKIE JR. DO
Internal Medicine (Cardiovascular Disease)
142 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 825-7700
ALEXANDER PIROLLI DC
Chiropractor
142 MUNDY ST
WILKES BARRE TOWNSHIP, PA 18702
Luzerne County (570) 371-0398

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pain Center Of Wyoming Valley, LLC's NPI number?

The NPI number for Pain Center Of Wyoming Valley, LLC is 1629409578. It was assigned to this organization in the NPPES registry on December 3, 2013.

Where is Pain Center Of Wyoming Valley, LLC located?

Pain Center Of Wyoming Valley, LLC is located at 142 Mundy St, Wilkes Barre, PA 18702. The listed phone number is (570) 270-5712.

What is Pain Center Of Wyoming Valley, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Pain Center Of Wyoming Valley, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2097048) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pain Center Of Wyoming Valley, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pain Center Of Wyoming Valley, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pain Center Of Wyoming Valley, LLC was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.