Active NPI
Jon S Ratta, P.A.
- Physician Assistant
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 785
- Practice address
- 789 Central Ave
Emergency Department
Dover, NH 03820-2526 - Phone
- (603) 740-2163
- Fax
- (405) 341-9217
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 785 | MA | Primary |
Addresses
Primary practice location
789 Central Ave
Emergency Department
Dover, NH 03820-2526
Mailing address
PO Box 845398
Boston, MA 02284-5398
Phone (800) 684-1577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00234856 | Other | RAILROAD MEDICARE | |
| 30011406 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484
185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900
25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 663-3740
40 Butrrick Rd
Londonderry, NH 03053-3381
One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 785 | MA | MD | Registered Dietitian |
| 287 | NH | MD | Podiatrist |
| 0287 | NH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Derry PLLC | Past | Accepting new patients | |
| Running Brook Emergency Physicians, LLC | Physician Assistant | Past | Accepting new patients |
| Seacoast Emergency Physicians, PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
-
- Emergency Medical Services (Emergency Medicine) Physician
- Derry, NH
- NPI 1730232232
-
- Emergency Medicine Physician
- Derry, NH
- NPI 1003152570
Physician Assistant
-
- Emergency Medical Services (Emergency Medicine) Physician
- Dover, NH
- NPI 1134155872
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1821027459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845398",
"city": "BOSTON",
"state": "MA",
"postal_code": "022845398",
"telephone_number": "800-684-1577",
"fax_number": "405-844-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"address_2": "EMERGENCY DEPARTMENT",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-2163",
"fax_number": "405-341-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATTA",
"first_name": "JON",
"middle_name": "S",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00234856",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011406",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.