Paul S. Panebianco, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MB03115000 Issued in NJ

Practice address

129 Johnson Rd
Suite 4
Turnersville, NJ 08012-1777

Phone

(856) 374-4440

Fax

(856) 374-4445

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1801888995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 JOHNSON RD",
            "address_2": "SUITE 4",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121777",
            "telephone_number": "856-374-4440",
            "fax_number": "856-374-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 JOHNSON RD",
            "address_2": "SUITE 4",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121777",
            "telephone_number": "856-374-4440",
            "fax_number": "856-374-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEBIANCO",
        "first_name": "PAUL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MB03115000",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS003416L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1288300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hajah Jariatu Onuoha, MSN,APRN,ANP-BC
• Lisa A Oswald, P.T.
• Karin Otto, MSW, LSW
• Pain Control Associates, PC
• Katina Pancoast, BCABA
• Neelesh Parikh, DO
• Shreya Hemal Parikh
• Laura Pascal, LPC
• Diane Marie Pascu, PHARMD, BCPS, RPH
• Septimiu Nicoaae Pastiu, DMD

• Nephrology Physician in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.