Active NPI
Jonathan Frank Paolini, CRNP
- Acute Care Nurse Practitioner
- Wynnewood, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP014708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ars Treatment Centers, P.C. | Current | Accepting new patients | |
| Ars Treatment Centers, P.C. | Current | 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.
-
- Multi-Specialty Clinic/Center
- Uniontown, PA
- NPI 1346731171
-
dba Crossroads Treatment Centers
- Addiction Medicine (Family Medicine) Physician
- Lanoka Harbor, NJ
- NPI 1720644800
-
dba Crossroads Treatment Centers Beaver (LAB)
- Clinical Medical Laboratory
- Beaver, PA
- NPI 1992370324
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.