Individual provider Active NPI

Garrett Jaffe

  • Certified Registered Nurse Anesthetist
  • Danbury, CT
National Provider Identifier
1003300146
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
12.007651 Issued in CT
Practice address
24 Hospital Ave
Danbury, CT 06810
Phone
(203) 739-7118
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 12023680 CT
Certified Registered Nurse Anesthetist 367500000X 12.007651 CT Primary

Addresses

Primary practice location

24 Hospital Ave
Danbury, CT 06810

Mailing address

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518000537 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294085064 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Naples Anesthesia, LLCGroup PAC ID 1052459732, 9 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians
Coastal Anesthesia and Pain Associates PLLCGroup PAC ID 6406214196, 4 clinicians

Practice addresses (Care Compare)

1005 Crosspointe Dr
Suite 2
Naples, FL 34110-0947
Phone (239) 566-5748

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4000

700 Neapolitan Way
Naples, FL 34103-8570
Phone (239) 261-8383

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
7651CTMDSocial Worker
12.007651CTMDCertified Registered Nurse Anesthetist
12023680CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Naples Anesthesia, LLC CurrentSince Dec 26, 2024 Accepting new patients
Korunda Medical, LLC CurrentSince Feb 6, 2023 Accepting new patients
Korunda Medical, LLC Current Accepting new patients
Coastal Anesthesia & Pain Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 28, 2023 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince May 1, 2021 Accepting new patients
Capital Anesthesia Solutions of Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients

Locations

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

700 Neapolitan Way
Naples, FL 34103
Phone (239) 261-8383

4513 Executive Dr
Ste 101
Naples, FL 34119
Phone (239) 594-7563

1005 Crosspointe Dr
Ste 1
Naples, FL 34110

1005 Crosspointe Dr
Ste 2
Naples, FL 34110
Phone (239) 566-5748

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1003300146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106099",
            "telephone_number": "203-739-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-739-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "12023680",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "12.007651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.