Active NPI
Nina J Paonessa, D.O., F.A.C.O.S
- Colon & Rectal Surgery Physician
- Brielle, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 25MB08475900
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- 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 100
- Quality
- 65
- Improvement activities
- 40
- Cost
- 81.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 59 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08475900 | NJ | MD | Colon & Rectal Surgery Physician |
Interoperability endpoints
- 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.
-
- Surgery Physician
- Brielle, NJ
- NPI 1962827949
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
-
dba Ocean Medical Center
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
dba Southern Ocean Medical Center
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Brick, NJ
- NPI 1942927538
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.