Individual provider Active NPI

Jonathan Omane, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New Bedford, MA
National Provider Identifier
1275081564
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
226 Field St
New Bedford, MA 02740-2133
Phone
(508) 979-5557
NPI assigned
Sep 14, 2016
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

226 Field St
New Bedford, MA 02740-2133

Mailing address

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MA2 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
I20171120000727 OH Practitioner - Physician Assistant 9335427087 Reassigns benefits to 2 organizations
I20250703003789 MA Practitioner - Physician Assistant 9335427087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

116 Belmont St
RM 26
Worcester, MA 01605-2964
Phone (508) 979-5557

226 -230 Field St
New Bedford, MA 02740-2133
Phone (508) 817-5129

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

67 Union St
Natick, MA 01760-7700
Phone (508) 817-5129

National Provider Directory

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

Organizations & group practices 3

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1275081564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FIELD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402133",
            "telephone_number": "508-979-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 FIELD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402133",
            "telephone_number": "508-979-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMANE",
        "first_name": "JONATHAN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.