Active NPI
John A. Magnotta, MD
- Physical Medicine & Rehabilitation Physician
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 58901
- Practice address
- 363 Highland Ave
Fall River, MA 02720-3703 - Phone
- (508) 973-7643
- Fax
- (508) 973-7650
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 58901 | MA | Primary |
Addresses
Primary practice location
363 Highland Ave
Fall River, MA 02720-3703
Mailing address
200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014187180005 | Medicaid | PA | |
| 0932165 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmagnotta19957@direct.southcoast.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Pennsylvania State University College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919
534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766
Hospital & facility affiliations
- Southcoast Hospitals Group
- Southcoast Hospitals Group Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Hospitals Group,Inc | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Berkshire Faculty Services Inc | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
Interoperability endpoints
- jmagnotta19957@direct.southcoast.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Rehabilitation Hospital Unit
- Fall River, MA
- NPI 1750301636
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Bedford, MA
- NPI 1447275037
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Rehabilitation Hospital Unit
- Fall River, MA
- NPI 1750301636
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1659372399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"address_2": "SUITE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2784",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 HIGHLAND AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027203703",
"telephone_number": "508-973-7643",
"fax_number": "508-973-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNOTTA",
"first_name": "JOHN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "58901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014187180005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0932165",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmagnotta19957@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "363 Highland Ave",
"city": "Fall River",
"state": "MA",
"country_code": "US",
"postal_code": "027203703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.