Individual provider Active NPI

Justin Thomas Lonca, APRN

  • Gerontology Nurse Practitioner
  • Canton, OH
National Provider Identifier
1972155307
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.025153 Issued in OH
Practice address
236 3Rd St SW
Canton, OH 44702-1607
Phone
(330) 754-4431
Fax
(330) 244-8839
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.025153 OH Primary

Addresses

Primary practice location

236 3Rd St SW
Canton, OH 44702-1607

Mailing address

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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
I20190924002552 OH Practitioner - Nurse Practitioner 3870823438 Reassigns benefits to 3 organizations
I20260430001955 PA Practitioner - Nurse Practitioner 3870823438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skill Doc 101 LLCGroup PAC ID 1658509369, 34 clinicians
Pinnacle Care Providers, LLCGroup PAC ID 1850437948, 40 clinicians
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians

Practice addresses (Care Compare)

1082 Kensington Rd NE
Carrollton, OH 44615-9403
Phone (330) 627-7070

1691 Queens Gate Cir
Cuyahoga Falls, OH 44221-5542
Phone (330) 940-3000

1740 Pearce Cir
Salem, OH 44460-1853
Phone (330) 454-6914

220 Applegrove St NE
North Canton, OH 44720-1610
Phone (330) 499-8341

2200 Milton Blvd
Newton Falls, OH 44444-8746
Phone (330) 627-5501

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

2728 Bailey Rd
Cuyahoga Falls, OH 44221-2236
Phone (330) 929-4231

3328 13TH St NW
Canton, OH 44708-3942
Phone (330) 454-6914

6655 Frankstown Ave
Pittsburgh, PA 15206-4148
Phone (412) 665-3232

73 E Ave
Tallmadge, OH 44278-2349
Phone (330) 247-1875

865 E Iron Ave
Dover, OH 44622-2099
Phone (330) 343-5521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.74 of 100Reported as group
Quality
80.95
Improvement activities
40
Cost
84.55

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
63.89
Promoting interoperability
99
Improvement activities
40
Cost
72.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Sep 3, 2024 Accepting new patients
Skill Doc 101, LLC CurrentSince Nov 29, 2019 Accepting new patients
Pinnacle Care Providers, LLC Gerontology CurrentSince Aug 6, 2019 Accepting new patients

Locations

4580 Stephens Cir NW
Ste 202
Canton, OH 44718
Phone (330) 597-2815

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

1050 Broadview Blvd
Brackenridge, PA 15014
Phone (724) 224-9200

6655 Frankstown Ave
Pittsburgh, PA 15206
Phone (412) 665-1316

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.

Hospital & facility affiliations 4

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1972155307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONCA",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.025153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.