Individual provider Active NPI

Noelle Ionadi, PT, DPT, PA-C

  • Physician Assistant
  • Long Island City, NY
National Provider Identifier
1154672749
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021006-1 Issued in NY
Practice address
2701 Queens PLZ N FL 10
Long Island City, NY 11101-4022
Phone
(877) 514-1442
NPI assigned
Sep 24, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00444800 NJ
Physician Assistant 363A00000X 021006-1 NY Primary
Physical Therapist 225100000X 40QA01466200 NJ

Addresses

Primary practice location

2701 Queens PLZ N FL 10
Long Island City, NY 11101-4022

Mailing address

1 Longstreet LN
Cranbury, NJ 08512-2741
Phone (732) 406-6442

Other practice location 1

2050 Route 27
Suites 107 and 108
North Brunswick, NJ 08902-1380
Phone (732) 745-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180409002479 NY Practitioner - Physician Assistant 2860644663 Reassigns benefits to 1 organization
I20180430002346 NJ Practitioner - Physician Assistant 2860644663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

310 Madison Ave
Suite 206
Morristown, NJ 07960-6967
Phone (973) 571-2121

712 E Bay Ave
Suite 18
Manahawkin, NJ 08050-3447
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021006-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates, PA Past Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist PastSince Jan 3, 2000 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: noelle.ionadi@schweigerderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154672749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONGSTREET LN",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085122741",
            "telephone_number": "732-406-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 QUEENS PLZ N FL 10",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014022",
            "telephone_number": "877-514-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Route 27",
            "address_2": "Suites 107 and 108",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089021380",
            "country_code": "US",
            "telephone_number": "732-745-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IONADI",
        "first_name": "NOELLE",
        "credential": "PT, DPT, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00444800",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021006-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01466200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.