Jay L Abbott, M.D.
Individual provider Active NPI Specialist · Litchfield, CT
NPI 1083658629 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1083658629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 016526 (ME)
- Practice address
- 130 Norfolk Rd
Litchfield, CT 06759-2515 - Phone
- (860) 567-8848
- Fax
- (860) 567-8848
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 016526 | ME | Yes |
Addresses
Primary practice location
130 Norfolk Rd
Litchfield, CT 06759-2515
Mailing address
130 Norfolk Rd
Litchfield, CT 06759-2515
Phone (860) 567-8848
Other providers in Litchfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.