Active NPI
Jonathan Jason Ignacio, MD
- Family Medicine Physician
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C7-0017946
- Practice address
- 1074 S State St
Dover, DE 19901-6925 - Phone
- (302) 725-3200
- NPI assigned
- Mar 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | C7-0017946 | DE | Primary |
Addresses
Primary practice location
1074 S State St
Dover, DE 19901-6925
Mailing address
640 South State Street, Mail Code: 3007
Dover, DE 19901
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
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47 Congress St
Salem, MA 01970-7308
Phone (978) 744-8388
Hospital & facility affiliations
- North Shore Medical Center -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Community Health, Inc | Current | Accepting new patients | |
| North Shore Community Health, Inc | Current | Accepting new patients | |
| North Shore Community Health, Inc | Current | Accepting new patients |
Locations
89 Foster St
Peabody, MA 01960
Phone (978) 532-4903
27 Congress St
Ste 513
Salem, MA 01970
Phone (978) 825-1175
47 Congress St
Salem, MA 01970
Phone (978) 744-8388
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Salem, MA
- NPI 1588910384
-
- Federally Qualified Health Center (FQHC)
- Peabody, MA
- NPI 1124373022
-
- Federally Qualified Health Center (FQHC)
- Salem, MA
- NPI 1366582090
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1730829367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 SOUTH STATE STREET, MAIL CODE: 3007",
"city": "DOVER",
"state": "DE",
"postal_code": "19901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199016925",
"telephone_number": "302-725-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNACIO",
"first_name": "JONATHAN",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C7-0017946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.