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JONAS BLACK DOO
NPI 1649022344
Student in an Organized Health Care Education/Training Program in Springfield, MA

Active since April 04, 2024PECOS Enrolled
759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonas Black Doo NPPES

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

JONAS BLACK DOO (NPI 1649022344) is an individual student in an organized health care education/training program in Springfield, Massachusetts and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649022344
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONAS BLACKCredential: DOO
Location Address759 CHESTNUT STSpringfield, MA 01199-2818
Mailing Address7611 Breezy Point Ln Apt 207Raleigh, NC 27617-6794 · (919) 612-3740
Phone(413) 794-0000
Sole ProprietorYes
Enumeration DateApril 4, 2024
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1649022344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
759 CHESTNUT ST, Springfield, MA 01199
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonas Black Doo 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS ZAMBRANO
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
CHARLES E BROWN
Nurse Anesthetist, Certified Registered
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3520
RAISA KHAN
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
VICTORIA YOUNES
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (418) 794-0000
MR. ROBERT J RUSSELL PCNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3376
DR. BENJAMIN J BARNES MD
Psychiatry & Neurology (Neurology)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-4440
BAYSTATE MEDICAL CENTER INC
Pharmacy (Community/Retail Pharmacy)
759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199
Hampden County (413) 794-3291
JEFFREY WALBRIDGE DO
Pediatrics
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000

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 Jonas Black's NPI number?

The NPI number for Jonas Black is 1649022344. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Jonas Black located?

Jonas Black practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Jonas Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonas Black enrolled in Medicare?

Yes. Jonas Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonas Black was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.