Active NPI
Ryane Nichol Panasiti, MD
- Pediatric Pathology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pathology Physician
- License
- MT216255
- Practice address
- 3401 Civic Center Blvd
Philadelphia, PA 19104 - Phone
- (267) 426-7949
- NPI assigned
- May 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Pathology Physician | 207ZP0213X | MT216255 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Philadelphia, PA 19104
Mailing address
18 Bovensiepen CT
Roseland, NJ 07068-1126
Phone (626) 893-6030
Other practice location 1
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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
- Pathology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5763
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.85 of 100
- Quality
- 68.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT216255 | PA | MD | Pediatric Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Pathology Associates, LLC | Current | Accepting new patients |
Locations
1919 S Highland Ave
Ste 210
Lombard, IL 60148
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Livingston, NJ
- NPI 1083781090
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1700223138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 BOVENSIEPEN CT",
"city": "ROSELAND",
"state": "NJ",
"postal_code": "070681126",
"telephone_number": "626-893-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "267-426-7949"
}
],
"practiceLocations": [
{
"address_1": "94 Old Short Hills Rd",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070395672",
"country_code": "US",
"telephone_number": "973-322-5777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANASITI",
"first_name": "RYANE",
"middle_name": "NICHOL",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "PA",
"license": "MT216255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.