Individual provider Active NPI

Jonathan Pontell, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Wayne, PA
National Provider Identifier
1992742282
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
MD068106L Issued in PA
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

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD068106LPAMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Dermatology Group LLC Past Accepting new patients
Catherine Weng, LLC PastSince May 1, 2024 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.

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.

Verify at the official NPI Registry.