Individual provider Active NPI

Aaron Jannetti

  • Physician Assistant
  • Central Square, NY
National Provider Identifier
1003364977
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020140 Issued in NY
Practice address
3045 East Ave
Central Square, NY 13036-2611
Phone
(315) 668-5240
NPI assigned
Sep 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020140 NY Primary

Addresses

Primary practice location

3045 East Ave
Central Square, NY 13036-2611

Mailing address

75 Remit Dr
Ste 6151
Chicago, IL 60675-6151
Phone (866) 916-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107001273 NY Practitioner - Physician Assistant 8123306511 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

17 Lansing St
Auburn, NY 13021-1983

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

5100 W Taft Rd
Liverpool, NY 13088-4841

77 Nelson St
Auburn, NY 13021-1941

Hospital & facility affiliations

  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020140NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Gastroenterological Associates PC CurrentSince Oct 1, 2020 Accepting new patients
Port City Emergency Physicians LLP Physician Assistant CurrentSince Oct 1, 2016 Accepting new patients
Auburn Community Hospital CurrentSince Sep 17, 2024 Accepting new patients
Auburn Community Hospital CurrentSince Sep 17, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 17, 2024 Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

143 North St
Ste 1
Auburn, NY 13021
Phone (315) 253-1832

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

739 Irving Ave
Ste 400
Syracuse, NY 13210
Phone (315) 234-4815

739 Irving Ave
Ste 430
Syracuse, NY 13210

Interoperability endpoints

  • Direct secure messaging: ajannetti@oswegohealth.hiemail.healtheconnections.org
  • Direct secure messaging: ajannetti52120@direct.upstate.edu
  • Direct secure messaging: ajannetti2387215@direct.trinity-health.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1003364977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR",
            "address_2": "STE 6151",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756151",
            "telephone_number": "866-916-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 EAST AVE",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130362611",
            "telephone_number": "315-668-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNETTI",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Square, NY

Sources for this page

Verify at the official NPI Registry.