Ronald Krishan Jeganathan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

028922 Issued in NY

Practice address

1480 East Ave
Bronx, NY 10462-7502

Phone

(718) 319-1610

NPI assigned

Jan 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Starling Diagnostics LLC

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1497397152

  NY

  Medicare reassignment Care Compare group
• Westside Family Medicine PLLC.

  • Family Medicine Physician
  • New York, NY
  • NPI 1467539874

  NJ, NY

  Medicare reassignment Care Compare group
• Maxim Care

  • Physician Assistant
  • New York, NY
  • NPI 1942173174
  NPD Authorized official
• Rivia Medical PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1134644032

  NY

  Medicare reassignment
• Rivia Medical PLLC

  • Nutritionist
  • New York, NY
  • NPI 1871280818
  NPD
• American Chiropractic Enterprise PLLC

  • Chiropractor
  • Hudson, NY
  • NPI 1942495486
  NPD (past)
• California Medical Imaging Associates, Inc

  • Diagnostic Radiology Physician
  • Visalia, CA
  • NPI 1821234899
  NPD (past)
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Starling Diagnostics LLC 19 clinicians

Westside Family Medicine PLLC 23 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1497416119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PILCHER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146307",
            "telephone_number": "646-709-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 EAST AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627502",
            "telephone_number": "718-319-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGANATHAN",
        "first_name": "RONALD",
        "middle_name": "KRISHAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "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": "NY",
            "license": "028922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Cooper O.D., P.C.
• Jeffrey Cooper O.D., P.C.
• Jeffrey Cooper O.D., P.C.
• Ambrozine Jeffrey, REGISTERED NURSE
• Asia Jeffriesmartinez
• Jean Taiwo Jegede, MSW
• Oyebisi Jegede, MD, PH.D
• Ameena Ashley Jehaludi, MD
• Rana Sultana Jehle, PA
• Gavro Jelic

• All providers in Bronx, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.

Verify at the official NPI Registry.