Organization Active NPI

Jettison, Inc.

  • Internal Medicine Physician
  • Littleton, CO
National Provider Identifier
1184384257
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JETTISON, INC.
Practice address
191 E Orchard Rd Ste B
Littleton, CO 80121-8055
Phone
(303) 493-9509
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Robert Ayala
Title
President
Phone
(212) 321-0477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

191 E Orchard Rd Ste B
Littleton, CO 80121-8055

Mailing address

45 Portland Rd Ste 7-226
Kennebunk, ME 04043-6660
Phone (207) 292-6261

Other practice location 1

600 17th St
Denver, CO 80202-5402
Phone (303) 260-6400

National Provider Directory

National Provider Directory

Locations

600 17th St
Denver, CO 80202
Phone (303) 260-6400

45 Portland Rd
Ste 7226
Kennebunk, ME 04043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1184384257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PORTLAND RD STE 7-226",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436660",
            "telephone_number": "207-292-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD STE B",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218055",
            "telephone_number": "303-493-9509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 17th St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025402",
            "country_code": "US",
            "telephone_number": "303-260-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JETTISON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-321-0477"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.