Active NPI
Jacque Ciarlo, D.O.
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 054026
- Practice address
- 205 E 95TH St
Apartment 25 C
New York, NY 10128-4014 - Phone
- (203) 565-9361
- NPI assigned
- May 2, 2011
- Last updated
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | N9441 | TX | |
| Emergency Medicine Physician | 207P00000X | 054026 | CT | Primary |
Addresses
Primary practice location
205 E 95TH St
Apartment 25 C
New York, NY 10128-4014
Mailing address
205 E 95TH St
Apartment 25 C
New York, NY 10128-4014
Phone (203) 565-9361
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.05 of 100
- Quality
- 84.92
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.01 of 100
- Quality
- 71.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health, Inc. | Emergency Medicine | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Nems PLLC | Emergency Medicine | Current | Accepting new patients |
| Usacs of Connecticut, LLC | Emergency Medicine | Current | Accepting new patients |
| The William W Backus Hospital | Current | Accepting new patients | |
| William W Backus Hospital | Current | Accepting new patients | |
| Emergency Physicians of Connecticut PC | Emergency Medicine | Current | Accepting new patients |
| Northeast Emergency Medicine Specialists, LLC | Emergency Medicine | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Past | Accepting new patients | |
| Abk Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Interoperability endpoints
- jacque.ciarlo@xdr.hhchealthdirect.org
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Waterbury, CT
- NPI 1902278906
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Emergency Medicine
-
- Emergency Medicine Physician
- Meriden, CT
- NPI 1114482882
-
- Emergency Medicine Physician
- Willimantic, CT
- NPI 1982889598
-
dba The Hospital of Central Connecticut
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- Emergency Medicine Physician
- Bristol, CT
- NPI 1285713099
-
dba The Hospital of Central Connecticut
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
-
- Emergency Medicine Physician
- Alice, TX
- NPI 1801983036
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1255622759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E 95TH ST",
"address_2": "APARTMENT 25 C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284014",
"telephone_number": "203-565-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 95TH ST",
"address_2": "APARTMENT 25 C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284014",
"telephone_number": "203-565-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARLO",
"first_name": "JACQUE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "N9441",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "054026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.