ETHAN JOSEPH JANUSZEWSKI PA-C
NPI 1205646825
Physician Assistant - Medical in Bellingham, MA

Active since January 08, 2025PECOS Enrolled
118 PATRICIA DR, BELLINGHAM, MA 02019(508) 282-1393 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Joseph Januszewski Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN JOSEPH JANUSZEWSKI PA-C (NPI 1205646825) is an individual medical provider in Bellingham, Massachusetts, licensed in Massachusetts (1230400) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205646825
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameETHAN JOSEPH JANUSZEWSKICredential: PA-C
Location Address118 PATRICIA DRBellingham, MA 02019-1085
Mailing Address118 Patricia DrBellingham, MA 02019-1085 · (508) 282-1393
Sole ProprietorNo
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
NPI 1205646825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · 1230400
118 PATRICIA DR, Bellingham, MA 02019

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan Joseph Januszewski Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Januszewski's NPI number?

The NPI number for Ethan Januszewski is 1205646825. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Ethan Januszewski located?

Ethan Januszewski practices at 118 Patricia Dr, Bellingham, MA 02019. The listed phone number is (508) 282-1393.

What is Ethan Januszewski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ethan Januszewski enrolled in Medicare?

Yes. Ethan Januszewski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Januszewski was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.