Individual provider Active NPI

Jonathan David Hwang, PA-C

  • Physician Assistant
  • Biddeford, ME
National Provider Identifier
1437874229
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2549 Issued in ME
Practice address
1 Medical Center Dr
Biddeford, ME 04005-9422
Phone
(207) 283-7000
NPI assigned
Oct 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 PA2549 ME Primary

Addresses

Primary practice location

1 Medical Center Dr
Biddeford, ME 04005-9422

Mailing address

1 Medical Center Dr
Biddeford, ME 04005-9422

Other names 1

  • Jon Hwang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000470 MA Practitioner - Physician Assistant 9335593151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Affiliates IncGroup PAC ID 6103844261, 18 clinicians

Practice addresses (Care Compare)

133 Littleton Rd
Suite 104
Westford, MA 01886-3198
Phone (978) 369-5391

54 Baker Ave Ext
Suite 200
Concord, MA 01742-2137
Phone (978) 369-5391

830 Constitution Ave
Littleton, MA 01460-1137
Phone (978) 369-5391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2549MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Affiliates Inc CurrentSince Jul 29, 2024 Accepting new patients
Emerson Hospital Current Accepting new patients

Locations

54 Baker Avenue Ext
Ste 200
Concord, MA 01742
Phone (978) 369-5391

34 Highland Cmn E
Hudson, MA 01749
Phone (978) 263-0007

830 Constitution Ave
Littleton, MA 01460
Phone (978) 287-8990

133 Littleton Rd
Ste 104
Westford, MA 01886
Phone (978) 369-2665

Interoperability endpoints

  • Direct secure messaging: hwang.jonathan.epho@direct.partners.masshiway.net
  • Direct secure messaging: jhwang555340@direct.mmc.mainehealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1437874229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-283-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "HWANG",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.