Individual provider Active NPI

Jonathan Frank Paolini, CRNP

  • Acute Care Nurse Practitioner
  • Wynnewood, PA
National Provider Identifier
1932599578
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP014708 Issued in PA
Practice address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone
(484) 476-8127
Fax
(610) 647-2006
NPI assigned
Feb 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00746000 NJ
Acute Care Nurse Practitioner 363LA2100X SP014708 PA Primary
Acute Care Nurse Practitioner 363LA2100X 40386 TN

Addresses

Primary practice location

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150422000361 PA Practitioner - Nurse Practitioner 5395063473 Reassigns benefits to 1 organization
I20240307000096 NJ Practitioner - Nurse Practitioner 5395063473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians
Ars Treatment Centers of New Jersey PCGroup PAC ID 4587994397, 6 clinicians

Practice addresses (Care Compare)

2820 W Girard Ave
Philadelphia, PA 19130-1243
Phone (800) 805-6989

6650 Browning Rd
RM M19
Pennsauken, NJ 08109-1479
Phone (800) 805-6989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ars Treatment Centers, P.C. CurrentSince Jun 12, 2023 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Jun 12, 2023 Accepting new patients

Locations

220 S Main St
Ste A
Butler, PA 16001

4432 E Bristol Rd
Ste 1B
Feasterville Trevose, PA 19053

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

4821 Frankford Ave
Ste E
Philadelphia, PA 19124

504 South St
Fl First
Philadelphia, PA 19147

504 South St
#1
Philadelphia, PA 19147

1320 Chester Pike
Ste A
Sharon Hill, PA 19079

200 E Broad St
Ste 300
Greenville, SC 29601

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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1932599578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-8127",
            "fax_number": "610-647-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "484-476-8127",
            "fax_number": "610-647-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "JONATHAN",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00746000",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP014708",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "40386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.