Brandon Pisani, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

96 Lincoln Dr
Clementon, NJ 08021-2856

Phone

(856) 449-9021

NPI assigned

Apr 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health, LLCGroup PAC ID 7911338231, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Primary Health LLC

  • Interventional Cardiology Physician
  • Philadelphia, PA
  • NPI 1275982084
  Medicare reassignment Care Compare group
• Pennmed Care PA PC

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1750194569
  Medicare reassignment NPD
• Einstein Practice Plan Inc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment
• Sunnyvale Wellness Foundation

  • Community Health Worker
  • Philadelphia, PA
  • NPI 1861149221
  Medicare reassignment
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD
• Einstein Practice Plan, Inc.

  • Maternal & Fetal Medicine Physician
  • Philadelphia, PA
  • NPI 1518451681
  NPD
• Sunnyvale Orthopaedic and Rehabilitation Clinic LLC

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1932095684
  NPD
• Einstein Practice Plan Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1801853288
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1992446538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LINCOLN DR",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 LINCOLN DR",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212856",
            "telephone_number": "856-449-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANI",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennreach
• Personalized Independent Living Opporuntities & Training Services
• Donna Marie Phillips
• Anhthu Pham Pickart, PA-C
• Pinnacle Home Healthcare LLC
• Paige Portner, LSW
• Pretty Hair Solutions
• Jacqueline Quinones
• Radiance Healthcare LLC
• Radiant Transformations Counseling Services

• Medical Physician Assistant in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.

Verify at the official NPI Registry.