Active NPI
Jonathan Conlon, PA-C
- Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016007
- Practice address
- 725 Irving Ave Ste 314
Syracuse, NY 13210-1685 - Phone
- (315) 464-9360
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016007 | NY | Primary |
Addresses
Primary practice location
725 Irving Ave Ste 314
Syracuse, NY 13210-1685
Mailing address
251 Salina Meadows Pkwy Ste 100
Syracuse, NY 13212-4516
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
550 Harrison St
Syracuse, NY 13202-3188
Phone (315) 464-8093
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-8093
90 Presidential PLZ
Syracuse, NY 13202-2240
Phone (315) 464-8093
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016007 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Health Hospital Inc | Current | Accepting new patients | |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Current | Accepting new patients | |
| North Medical PC | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Physician Assistant | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Current | Accepting new patients | |
| Pathology Associates of Syracuse, PC | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
725 Irving Ave
Ste 314
Syracuse, NY 13210
Phone (315) 424-0151
Interoperability endpoints
- jconlon87537@direct.upstate.edu
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1184974529
Physician Assistant
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1841340205
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1629061791
-
- Pharmacy
- Syracuse, NY
- NPI 1306567474
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651276800000",
"number": "1023368818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SALINA MEADOWS PKWY STE 100",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 IRVING AVE STE 314",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101685",
"telephone_number": "315-464-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "JONATHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2022-04-30",
"certification_date": "2022-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "016007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.