Individual provider Active NPI

Jonathan Conlon, PA-C

  • Physician Assistant
  • Syracuse, NY
National Provider Identifier
1023368818
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016007 Issued in NY
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

Updated by the provider on Apr 30, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000631 NY Practitioner - Physician Assistant 7113177478 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
016007NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital Inc Current Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Mar 1, 2019 Accepting new patients
North Medical PC Current Accepting new patients
Suny Health Science Center at Syracuse Physician Assistant CurrentSince May 9, 2024 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince May 9, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.