JESSICA TINA PERONI (NPI# 1114090859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114090859 |
| Entity Type | Individual |
| Full Name | JESSICA TINA PERONI |
| Credential | PA |
| Practice Address |
415 Columbia Rd Dorchester MA 02125-2424 |
| Practice Telephone | 6172878000 |
| Mailing Telephone | 6172878000 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1504 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
415 COLUMBIA RD |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332270 | Elisabeth Joan Moths-rebrovic | Family Medicine | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2006-01-30 |
| 1386251437 | Laurel Carr Frazier | Case Management | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-09-23 |
| 1104441203 | Shamila Ali | Pharmacist | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-06-15 |
| 1508486861 | Norma I Gonzalez | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-04-16 |
| 1790304533 | Bettina Brea | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-04-12 |
| 1538795935 | Abigail Rose Rezendes | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-03-17 |
| 1538793997 | Antonette R Kennedy | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-02-25 |
| 1992338339 | Ashley Felix | Social Worker | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-02-13 |
| 1134762396 | Julmide Eugene | Licensed Practical Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-10-21 |
| 1093358368 | Cini Pillai-kadu | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170223 | Cassidy Melville Griffin | Physician Assistant | 25 Hecla St Apt 1, Dorchester, MA 02122-2972 | 2020-06-28 |
| 1659930295 | Mary O'dwyer | Physician Assistant | 6 Franconia St, Dorchester, MA 02122-2108 | 2019-06-07 |
| 1609434505 | Molly Ciciora | Physician Assistant | 30 Pond St Apt 1, Dorchester, MA 02125-1727 | 2019-06-05 |
| 1417455692 | Adam Carreiro | Physician Assistant | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2018-01-23 |
| 1881979730 | Jenna Busa | Physician Assistant | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2011-10-11 |
| 1225255870 | Denise Zwahlen | Physician Assistant | 637 Washington Street, Dorchester, MA 02124 | 2007-04-18 |
| 1104880319 | Donald E Duger | Physician Assistant | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-04-14 |
| 1477513422 | Craig Ushkurnis | Physician Assistant | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.