Active NPI
Dominick F. Paonessa, MD PC
- Specialist
- Albany, NY
National Provider Identifier
1942337316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 109356
- Legal business name
- DOMINICK F. PAONESSA, MD PC
- Practice address
- 319 S Manning Blvd
Suite 105
Albany, NY 12208-1742 - Phone
- (518) 489-2651
- Fax
- (518) 459-2928
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Ann Meister
- Title
- Insurance Coordinator
- Phone
- (518) 489-2651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 109356 | NY | Primary |
Addresses
Primary practice location
319 S Manning Blvd
Suite 105
Albany, NY 12208-1742
Mailing address
319 S Manning Blvd
Suite 105
Albany, NY 12208-1742
Phone (518) 489-2651
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00315251 | Medicaid | NY | |
| 000405889002 | Other | NY | BLUE SHIELD OF NENY |
| 04543 | Other | NY | GHI HMO |
| 28331 | Other | NY | EMPIRE BLUE CROSS |
| 04132 | Other | NY | MVP |
| 0014904 | Other | NY | GHI |
| 040005885 | Other | NY | RR MEDICARE |
| 10001547 | Other | NY | CDPHP |
| 104543 | Other | NY | WELLCARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Albany, NY
- NPI 1881646230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1942337316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 S MANNING BLVD",
"address_2": "SUITE 105",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081742",
"telephone_number": "518-489-2651",
"fax_number": "518-459-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S MANNING BLVD",
"address_2": "SUITE 105",
"city": "ALBANY",
"state": "NY",
"postal_code": "122081742",
"telephone_number": "518-489-2651",
"fax_number": "518-459-2928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINICK F. PAONESSA, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "MEISTER",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "518-489-2651",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "109356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00315251",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NENY",
"identifier": "000405889002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "04543",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "28331",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "04132",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0014904",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "040005885",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10001547",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "104543",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.