Active NPI
James Roy, PA-C
- Surgical Physician Assistant
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 001817
- Practice address
- 1000 Asylum Ave
Suite 4320
Hartford, CT 06105-1770 - Phone
- (860) 714-5237
- Fax
- (861) 714-8311
- NPI assigned
- Feb 8, 2007
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 001817 | CT | Primary |
Addresses
Primary practice location
1000 Asylum Ave
Suite 4320
Hartford, CT 06105-1770
Mailing address
128 Lyman Rd Unit 18
Wolcott, CT 06716-2339
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1817 | CT | MD | Physical Therapist |
| 001817 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Saint Francis Care Medical Group, PC | Past | Accepting new patients |
Locations
1000 Asylum Ave
Ste 4320
Hartford, CT 06105
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
Interoperability endpoints
- jroy2389914@direct.trinity-health.org
Organizations & group practices 4
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.
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1508172545
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1265572184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 LYMAN RD UNIT 18",
"city": "WOLCOTT",
"state": "CT",
"postal_code": "067162339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "SUITE 4320",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-714-5237",
"fax_number": "861-714-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "001817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.