Individual provider Active NPI

Joshua Samuel Jaffe, M.D.

  • Obstetrics & Gynecology Physician
  • Sharon, CT
National Provider Identifier
1083650329
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
025610 Issued in CT
Practice address
50 Amenia Rd
Sharon, CT 06069-2268
Phone
(860) 364-0536
Fax
(860) 364-1299
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 167955 NY
Obstetrics & Gynecology Physician 207V00000X 025610 CT Primary

Addresses

Primary practice location

50 Amenia Rd
Sharon, CT 06069-2268

Mailing address

50 Amenia Rd
Sharon, CT 06069-2268
Phone (860) 364-0536

Other identifiers 1

IdentifierTypeStateIssuer
01256106MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090205000483 NY Practitioner - Obstetrics/Gynecology 2961566906 Reassigns benefits to 2 organizations
I20090804000858 CT Practitioner - Obstetrics/Gynecology 2961566906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

50 Amenia Rd
Sharon, CT 06069-2268
Phone (860) 364-0536

Hospital & facility affiliations

  • Sharon Hospital Hospital, Sharon, CT, CCN 070004
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Charlotte Hungerford Hospital Hospital, Torrington, CT, CCN 070011
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
167955NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Mid-Hudson Valley Inc CurrentSince Sep 8, 2011 Accepting new patients
Planned Parenthood of Greater New York Inc CurrentSince Jan 19, 2020 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Locations

44 Court St
Fl 6
Brooklyn, NY 11201
Phone (718) 852-6879

2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000

3125 US Route 9W
New Windsor, NY 12553
Phone (518) 691-0732

17 Noxon St
Poughkeepsie, NY 12601
Phone (845) 471-1530

543 Bay Rd
Queensbury, NY 12804
Phone (518) 761-2663

Interoperability endpoints

  • Direct secure messaging: joshua.jaffe.2@10170.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1083650329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AMENIA RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692268",
            "telephone_number": "860-364-0536",
            "fax_number": "860-364-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AMENIA RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692268",
            "telephone_number": "860-364-0536",
            "fax_number": "860-364-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "JOSHUA",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "167955",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "025610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01256106",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

Verify at the official NPI Registry.