Organization Active NPI

Jonathan N Saunders MD PA

  • Plastic and Reconstructive Surgery Physician
  • Newark, DE
National Provider Identifier
1093044091
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
JONATHAN N SAUNDERS MD PA
Practice address
E62 Omega Professional Center
Newark, DE 19713-2061
Phone
(302) 368-9611
Fax
(302) 368-3424
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Aileen Lennon
Title
Billing Manager
Phone
(302) 368-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

E62 Omega Professional Center
Newark, DE 19713-2061

Mailing address

E62 Omega Professional Center
Newark, DE 19713-2061
Phone (302) 368-9611

Other identifiers 1

IdentifierTypeStateIssuer
000381501MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091230000031 DE Part B Supplier - Clinic/Group Practice 1456491224 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1093044091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E62 OMEGA PROFESSIONAL CENTER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132061",
            "telephone_number": "302-368-9611",
            "fax_number": "302-368-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E62 OMEGA PROFESSIONAL CENTER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132061",
            "telephone_number": "302-368-9611",
            "fax_number": "302-368-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN N SAUNDERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "LENNON",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "302-368-9611"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000381501",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.

Verify at the official NPI Registry.