Jason Martin Nobrega, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622

Phone

(203) 734-7900

Fax

(203) 513-3269

NPI assigned

Aug 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Orthopaedic Specialists, LLC.Group PAC ID 1951299122, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Griffin Hospital Hospital, Derby, CT, CCN 070031

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70818

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.

• Valley Orthopaedic Specialists LLC

  • Specialist
  • Shelton, CT
  • NPI 1083794796
  Medicare reassignment Care Compare group
• Valley Orthopaedic Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1699129957
  NPD
• Valley Orthopaedic Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, CT
  • NPI 1154505733
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1194372284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Main St Ste 1F",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "CT",
            "postal_code": "064781065",
            "country_code": "US",
            "telephone_number": "203-734-7900",
            "fax_number": "203-463-8957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBREGA",
        "first_name": "JASON",
        "middle_name": "MARTIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eavey Moore Newton
• Rae A. Nezat, OTR/L
• Lisa Nichols, LPC
• Jill Nicolia
• Ramon Antonio Nieves Jr., LCSW
• Stacie Marie Nolan, M.S., CCC-SLP
• Dawn Nolte, DVM
• Northeast Dental of Connecticut,PC
• Nova Path Integrative Psychology Associates PLLC
• NP Care, LLC

• Surgical Physician Assistant in Shelton, CT
• Providers in Shelton, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.

Verify at the official NPI Registry.