Individual provider Active NPI

Jay Winiesky, P.A.C.

  • Medical Physician Assistant
  • New Kensington, PA
National Provider Identifier
1659691830
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA000518 Issued in PA
Practice address
251 7TH St
Suite 201B
New Kensington, PA 15068-6534
Phone
(724) 335-6662
Fax
(724) 335-3010
NPI assigned
Jun 10, 2010
Last updated
Jun 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA000518 PA Primary

Addresses

Primary practice location

251 7TH St
Suite 201B
New Kensington, PA 15068-6534

Mailing address

251 7TH St
Suite 201B
New Kensington, PA 15068-6534
Phone (724) 335-6662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160629001631 PA Order and Referring Only - Physician Assistant 0648561225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA000518PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lloyd K. Richless MD PC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1659691830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 7TH ST",
            "address_2": "SUITE 201B",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686534",
            "telephone_number": "724-335-6662",
            "fax_number": "724-335-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 7TH ST",
            "address_2": "SUITE 201B",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686534",
            "telephone_number": "724-335-6662",
            "fax_number": "724-335-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINIESKY",
        "first_name": "JAY",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.