Jenna Del Buono

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

65 Canton St
Springfield, MA 01104-1415

Phone

(413) 636-6671

NPI assigned

Jan 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1285387316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CANTON ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041415",
            "telephone_number": "413-636-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CANTON ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041415",
            "telephone_number": "413-636-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2349A Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Allegany",
            "state": "NY",
            "postal_code": "147061066",
            "country_code": "US",
            "telephone_number": "413-636-6671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL BUONO",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karena Dejesus
• Luz Omayra Dejesus
• Nataly Dejesus
• Nicholas Dejesus
• Susan A Dejoy, CNM
• Ana Del Rio
• Nircia R Del Rosario-Melendez, LCSW
• Carina Del Valle
• Jamilex Del Valle
• Nancy Lee Delabarre, M.S.W., L.C.S.W

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.