Individual provider Active NPI

Nina J Paonessa, D.O., F.A.C.O.S

  • Colon & Rectal Surgery Physician
  • Brielle, NJ
National Provider Identifier
1174503197
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MB08475900 Issued in NJ
Practice address
603 Higgins Ave
Brielle, NJ 08730-1476
Phone
(732) 282-1500
Fax
(732) 282-1501
NPI assigned
Jan 17, 2006
Last updated
May 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 25MB08475900 NJ Primary

Addresses

Primary practice location

603 Higgins Ave
Brielle, NJ 08730-1476

Mailing address

2101 Route 34 South
Suite H
Wall, NJ 07719
Phone (732) 282-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081215000552 NJ Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5799733275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

603 Higgins Ave
Brielle, NJ 08730-1476
Phone (732) 282-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as individual
Quality
65
Improvement activities
40
Cost
81.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08475900NJMDColon & Rectal Surgery Physician

Interoperability endpoints

  • Direct secure messaging: npaonessa425366@direct.ahsys.org

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 4

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1174503197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ROUTE 34 SOUTH",
            "address_2": "SUITE H",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-282-1500",
            "fax_number": "732-282-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HIGGINS AVE",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301476",
            "telephone_number": "732-282-1500",
            "fax_number": "732-282-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAONESSA",
        "first_name": "NINA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O., F.A.C.O.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MB08475900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brielle, NJ

Sources for this page

Verify at the official NPI Registry.