Active NPI
Elizabeth F. Jaffe, MD
- Allergy & Immunology Physician
- South Burlington, VT
National Provider Identifier
1013912468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 042-000-9472
- Practice address
- 53 Timber LN
South Burlington, VT 05403-5201 - Phone
- (802) 864-0294
- Fax
- (802) 864-3779
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 042-000-9472 | VT | Primary |
Addresses
Primary practice location
53 Timber LN
South Burlington, VT 05403-5201
Mailing address
53 Timber LN
South Burlington, VT 05403-5201
Phone (802) 864-0294
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01744370 | Medicaid | NM | |
| 0VN1559 | Medicaid | VT | |
| 29424 | Other | VT | BLUE CROSS BLUE SHIELD VT |
| 321950 | Other | VT | MVP |
| 0369325-002 | Other | VT | CIGNA |
| 82X031 | Other | NY | BCBS NORTHEAST NEW YORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-000-9472 | VT | MD | Allergy & Immunology Physician |
Interoperability endpoints
- ejaffe911514@direct.ahn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013912468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 TIMBER LN",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054035201",
"telephone_number": "802-864-0294",
"fax_number": "802-864-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 TIMBER LN",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054035201",
"telephone_number": "802-864-0294",
"fax_number": "802-864-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "ELIZABETH",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "VT",
"license": "042-000-9472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01744370",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN1559",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD VT",
"identifier": "29424",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "321950",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0369325-002",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NORTHEAST NEW YORK",
"identifier": "82X031",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.