NPIMap

Individual provider Active NPI

Jon A Emerton, M.D.

  • Family Medicine Physician
  • Watertown, NY
National Provider Identifier
1144279977
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227318 Issued in NY
Practice address
428 Washington St
Ste 4
Watertown, NY 13601-4832
Phone
(315) 788-4880
Fax
(315) 788-4896
NPI assigned
May 9, 2006
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 227318 NY Primary

Addresses

Primary practice location

428 Washington St
Ste 4
Watertown, NY 13601-4832

Mailing address

445 Factory St
PO Box 91
Watertown, NY 13601-2729
Phone (315) 782-4207

Other identifiers 1

IdentifierTypeStateIssuer
00354315MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000016 NY Practitioner - Family Practice 0941373237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

428 Washington St
Suite 4
Watertown, NY 13601-3700
Phone (315) 788-4880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Family Medicine PLLC Family Medicine CurrentSince Jul 1, 2008 Accepting new patients

Locations

428 Washington St
Ste 4
Watertown, NY 13601
Phone (315) 788-0202

445 Factory St
Watertown, NY 13601

Interoperability endpoints

  • Direct secure messaging: emertonj@hiemail.healtheconnections.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JICBBA/Endpoint/JICBBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1144279977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 FACTORY ST",
            "address_2": "PO BOX 91",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012729",
            "telephone_number": "315-782-4207",
            "fax_number": "315-782-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WASHINGTON ST",
            "address_2": "STE 4",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014832",
            "telephone_number": "315-788-4880",
            "fax_number": "315-788-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERTON",
        "first_name": "JON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.