Jonathan Louis Panarese, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1334 Issued in NV

Practice address

1000 American Pacific Dr
Apt. 2621
Henderson, NV 89074-8790

Phone

(617) 840-7549

NPI assigned

Feb 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mass General Brigham Medical Group Northern Massachusetts IncGroup PAC ID 3577467224, 817 clinicians

Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center - Hospital, Salem, MA, CCN 220035
• Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: panarese.jonathan.nsmc@direct.partners.masshiway.net

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.

• Mass General Brigham Medical Group Northern Massachusetts Inc

  • Emergency Medicine Physician
  • Salem, MA
  • NPI 1588606123
  Medicare reassignment Care Compare group NPD
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Haverhill, MA
  • NPI 1891112637
  Medicare reassignment Care Compare group
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Burlington, MA
  • NPI 1639773039
  NPD
• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Neuro Rehab Associates, Inc

  • Rehabilitation Hospital
  • Salem, NH
  • NPI 1255354288

  Inpatient rehabilitation facility

  Care Compare affiliation
• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1578835666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AMERICAN PACIFIC DR",
            "address_2": "APT. 2621",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748790",
            "telephone_number": "617-840-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AMERICAN PACIFIC DR",
            "address_2": "APT. 2621",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748790",
            "telephone_number": "617-840-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANARESE",
        "first_name": "JONATHAN",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam Squared at Las Vegas, LLC
• Pamela G. Caggiano, D.D.S., LTD
• Tristian Joseph Bowlin Pamintuan
• Nikta Panahandeh, DDS
• Niki Panahi Zadeh, DDS
• Stephanie Michelle Pandullo
• Estefani Flores Panduro
• Darren Ngai Hing Pang, MD
• Joyce Ka Shun Pang, MD
• Jericah Pangan

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.