Active NPIIndividual provider

Ethan J Januszewski, PA-C

Physician Assistant, Medical in Bellingham, Massachusetts

NPI Number1205646825
Practice location
118 Patricia Dr, Bellingham, MA 02019-1085
Fax
—
Last updated
January 8, 2025

Ethan Joseph Januszewski is a Physician Assistant, Medical based in Bellingham, MA. Ethan Joseph Januszewski practices in Bellingham, MA and has the professional credentials of PA-C. The NPI Number for Ethan Joseph Januszewski is 1205646825 and holds a License No. 1230400 (MA). The current practice location address for Ethan Joseph Januszewski is 118 Patricia Dr, Bellingham, MA 02019-1085 and can be reached out via phone at 508-282-1393.

Provider Profile Details

NPI Number
1205646825
Provider Name
Ethan Joseph Januszewski
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
118 Patricia Dr, Bellingham, MA 02019-1085
Phone Number
508-282-1393
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2025
Last Update Date
January 8, 2025
Certification Date
January 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Patricia Dr
Bellingham, MA 02019-1085
Zip
02019-1085
Phone Number
508-282-1393
Bellingham, MA 02019Get directions →

Provider Business Mailing Address Details

Address
118 Patricia Dr
Bellingham, MA 02019-1085
City
Bellingham
State
MA
Zip
02019-1085
Phone Number
508-282-1393

License Information

License Number
1230400
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan J Januszewski, PA-C?

The NPI number of Ethan J Januszewski, PA-C is 1205646825. It was assigned on January 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Ethan J Januszewski, PA-C?

Ethan J Januszewski, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 1230400.

Where does Ethan J Januszewski, PA-C practice?

The practice location is 118 Patricia Dr, Bellingham, MA 02019-1085. The office can be reached at 508-282-1393 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205646825 directly on the NPPES registry website.

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