Organization Active NPI

Jennifer G. Jose

  • Preferred Provider Organization
  • Stamford, CT
National Provider Identifier
1053581868
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
037301 Issued in CT
Legal business name
JENNIFER G. JOSE
Practice address
1767 Summer St Ste 1
Stamford, CT 06905-5123
Phone
(203) 662-9602
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Jennifer G Jose, MDNPI 1619035243
Title
Physician
Phone
(203) 662-9602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 037301 CT Primary

Addresses

Primary practice location

1767 Summer St Ste 1
Stamford, CT 06905-5123

Mailing address

1767 Summer St Ste 1
Stamford, CT 06905-5123
Phone (203) 662-9602

National Provider Directory

National Provider Directory

Locations

688 Post Rd
Darien, CT 06820
Phone (203) 662-9602

1767 Summer St
Ste 1
Stamford, CT 06905
Phone (203) 662-9602

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10855/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1053581868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 SUMMER ST STE 1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055123",
            "telephone_number": "203-662-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 SUMMER ST STE 1",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055123",
            "telephone_number": "203-662-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER G. JOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-662-9602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CT",
            "license": "037301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.