Active NPI
Merrill B Jaffe, M.D.
- Specialist
- Stamford, CT
National Provider Identifier
1205971157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 026282
- Practice address
- 30 Shelburne Rd
Stamford, CT 06902-3628 - Phone
- (203) 276-7000
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 026282 | CT | Primary |
Addresses
Primary practice location
30 Shelburne Rd
Stamford, CT 06902-3628
Mailing address
1055 Washington Blvd
Stamford, CT 06901-2216
Phone (203) 348-2614
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026282 | CT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205971157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 WASHINGTON BLVD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069012216",
"telephone_number": "203-348-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SHELBURNE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023628",
"telephone_number": "203-276-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "MERRILL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "026282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.