Active NPI
Jonathan Pontell, M.D.
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Wayne, PA
National Provider Identifier
1992742282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- MD068106L
- Practice address
- 303 W Lancaster Ave
Suite 1a
Wayne, PA 19087-3938 - Phone
- (610) 688-7100
- Fax
- (610) 688-7102
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | MD068106L | PA | Primary |
Addresses
Primary practice location
303 W Lancaster Ave
Suite 1a
Wayne, PA 19087-3938
Mailing address
303 W Lancaster Ave
Suite 1a
Wayne, PA 19087-3938
Phone (610) 688-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD068106L | PA | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Valley Dermatology Group LLC | Past | Accepting new patients | |
| Catherine Weng, LLC | Past | Accepting new patients | |
| Atlantic Skin & Cosmetic Surgery Group, P.C. | Past | Accepting new patients |
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.
-
- Facial Plastic Surgery Physician
- Wayne, PA
- NPI 1477309359
-
- Dermatology Physician
- Wilmington, DE
- NPI 1073556874
-
- Dermatology Physician
- Wilmington, DE
- NPI 1568602969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1992742282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W LANCASTER AVE",
"address_2": "SUITE 1A",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873938",
"telephone_number": "610-688-7100",
"fax_number": "610-688-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W LANCASTER AVE",
"address_2": "SUITE 1A",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873938",
"telephone_number": "610-688-7100",
"fax_number": "610-688-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTELL",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "PA",
"license": "MD068106L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.