Individual provider Active NPI

Jonathan Lawrence Quiles, APRN

  • Adult Health Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1225764582
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10631 Issued in CT
Practice address
2200 Whitney Ave Ste 290
Hamden, CT 06518-3695
Phone
(203) 903-8308
Fax
(203) 599-3927
NPI assigned
Jul 28, 2022
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 10631 CT Primary

Addresses

Primary practice location

2200 Whitney Ave Ste 290
Hamden, CT 06518-3695

Mailing address

30 Myano LN Ste 16
Stamford, CT 06902-4532

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307002433 CT Practitioner - Nurse Practitioner 3577936848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Initiative Corp.Group PAC ID 1759641038, 11 clinicians

Practice addresses (Care Compare)

2200 Whitney Ave
Suite 290
Hamden, CT 06518-3695
Phone (203) 903-8308

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10631CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Faculty Physicians, Inc. Adult Health CurrentSince Apr 10, 2023 Accepting new patients
The Griffin Hospital PastSince Mar 19, 2023 Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

110 Commerce Dr
Shelton, CT 06484
Phone (203) 926-1897

Interoperability endpoints

  • Direct secure messaging: jonathan.quiles.1@1323.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1225764582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MYANO LN STE 16",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE STE 290",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183695",
            "telephone_number": "203-903-8308",
            "fax_number": "203-599-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES",
        "first_name": "JONATHAN",
        "middle_name": "LAWRENCE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.