Active NPI
Jesse Damm
- Physician Assistant
- Smithtown, NY
National Provider Identifier
1063124162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5 Branch Dr
Smithtown, NY 11787-3701 - Phone
- (631) 406-3518
- NPI assigned
- Dec 20, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5 Branch Dr
Smithtown, NY 11787-3701
Mailing address
5 Branch Dr
Smithtown, NY 11787-3701
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dammj@ahn-emp.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 276-4925
Hospital & facility affiliations
- Stamford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 78.36
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.6 of 100
- Quality
- 89.17
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 79.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- jdamm24315@stamfordhealth.direct-ci.com
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.
-
- Emergency Medicine Physician
- Stamford, CT
- NPI 1689614109
-
- Emergency Medicine Physician
- Monroeville, PA
- NPI 1235554692
-
- Emergency Medicine Physician
- Jefferson Hills, PA
- NPI 1235518499
-
- Emergency Medicine Physician
- Jefferson Hills, PA
- NPI 1437814696
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1083910962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stamford, CT
- NPI 1356331425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1063124162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BRANCH DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BRANCH DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873701",
"telephone_number": "631-406-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMM",
"first_name": "JESSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-20",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dammj@ahn-emp.com",
"affiliation": "N",
"address_1": "5 Branch Dr",
"city": "Smithtown",
"state": "NY",
"country_code": "US",
"postal_code": "117873701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.