Individual provider Active NPI

Jonathan Shaw, PA-C

  • Physician Assistant
  • Geneseo, NY
National Provider Identifier
1922467661
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
50 E South St
Geneseo, NY 14454-1300
Phone
(585) 335-4285
NPI assigned
Feb 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X PA10795 TX
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

50 E South St
Geneseo, NY 14454-1300

Mailing address

755 Jefferson Rd Ste 110
Rochester, NY 14623-3270
Phone (585) 385-6070

Other practice location 1

7220 Porter Rd
Niagara Falls, NY 14304-1600
Phone (716) 575-0075

Other practice location 2

2 Milton St
Dansville, NY 14437-1014
Phone (585) 385-6070

Other practice location 3

6713 Collamer Rd
East Syracuse, NY 13057-9814
Phone (315) 463-0421

Other practice location 4

755 Jefferson Rd Ste 110
Rochester, NY 14623-3270
Phone (585) 385-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231130000310 NY Practitioner - Physician Assistant 3274821921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Insights Medical Associates PLLCGroup PAC ID 8325345325, 10 clinicians

Practice addresses (Care Compare)

2 Milton St
Dansville, NY 14437-1014
Phone (585) 335-4285

50 E S St
Geneseo, NY 14454-1300
Phone (585) 335-4285

Hospital & facility affiliations

  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238

Merit-based Incentive Payment System (MIPS)

Final score
92.78 of 100Reported as group
Quality
95.06
Promoting interoperability
100
Improvement activities
40
Cost
78.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Insights Medical Services, LLC Multi-Specialty PastSince Jun 1, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jonathan.shaw.1@22039.direct.athenahealth.com
  • Direct secure messaging: jshaw231614@direct.sw.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1922467661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 JEFFERSON RD STE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233270",
            "telephone_number": "585-385-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SOUTH ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541300",
            "telephone_number": "585-335-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 Porter Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143041600",
            "country_code": "US",
            "telephone_number": "716-575-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Milton St",
            "address_purpose": "LOCATION",
            "city": "Dansville",
            "state": "NY",
            "postal_code": "144371014",
            "country_code": "US",
            "telephone_number": "585-385-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6713 Collamer Rd",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579814",
            "country_code": "US",
            "telephone_number": "315-463-0421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Jefferson Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146233270",
            "country_code": "US",
            "telephone_number": "585-385-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JONATHAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10795",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

Verify at the official NPI Registry.