Active NPI
Agata Jaskiewicz-Poznanska, M.D.
- Family Medicine Physician
- Southbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 049047
- Practice address
- 22 Old Waterbury Rd
Southbury, CT 06488-3848 - Phone
- (203) 262-4200
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 049047 | CT | Primary |
Addresses
Primary practice location
22 Old Waterbury Rd
Southbury, CT 06488-3848
Mailing address
1104 Woodland Hills Dr
Trumbull, CT 06611-6365
Phone (708) 738-2541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104001670 | CT | Practitioner - Family Practice | 6305030131 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nuvance Health Medical Practice CT Inc
Practice addresses (Care Compare)
22 Old Waterbury Rd
Southbury, CT 06488-3848
Phone (203) 262-4200
Hospital & facility affiliations
- Western Connecticut Home Care Inc
- Rvnahealth
- Elara Caring
- Uconn Health Community Network Home Health, Inc.
- Atrinity Home Health
- Regional Hospice
- Danbury Hospital
- Waterbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049047 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Family Medicine | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
CT, Family Medicine
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cheshire, CT
- NPI 1629387691
-
- Home Health Agency
- Rocky Hill, CT
- NPI 1255333597
-
- Home Health Agency
- Watertown, CT
- NPI 1265880413
-
- Community Based Hospice Care Agency
- Danbury, CT
- NPI 1649228016
Hospice
-
- Home Health Agency
- Ridgefield, CT
- NPI 1497758874
-
- Home Health Agency
- Danbury, CT
- NPI 1083677132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1114148558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 WOODLAND HILLS DR",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116365",
"telephone_number": "708-738-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 OLD WATERBURY RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064883848",
"telephone_number": "203-262-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKIEWICZ-POZNANSKA",
"first_name": "AGATA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "049047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.