Individual provider Active NPI

Jason Jonathon Sico, M.D.

  • Infectious Disease Physician
  • New Haven, CT
National Provider Identifier
1205010493
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Practice address
78 Cove St Unit 1
New Haven, CT 06512-4304
Phone
(203) 988-7553
Fax
(203) 688-1322
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X CT Primary

Addresses

Primary practice location

78 Cove St Unit 1
New Haven, CT 06512-4304

Mailing address

78 Cove St Unit 1
New Haven, CT 06512-4304
Phone (203) 988-7553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
390200000XCTMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1205010493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 COVE ST UNIT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065124304",
            "telephone_number": "203-988-7553",
            "fax_number": "203-688-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 COVE ST UNIT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065124304",
            "telephone_number": "203-988-7553",
            "fax_number": "203-688-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICO",
        "first_name": "JASON",
        "middle_name": "JONATHON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.