Individual provider Active NPI

Jason R Haldas, M.D.

  • Hematology & Oncology Physician
  • New London, CT
National Provider Identifier
1275532541
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
040056 Issued in CT
Practice address
3 Shaws CV
Suite 201
New London, CT 06320-4952
Phone
(860) 439-1770
Fax
(860) 447-2854
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 040056 CT Primary

Addresses

Primary practice location

3 Shaws CV
Suite 201
New London, CT 06320-4952

Mailing address

3 Shaws CV
Suite 201
New London, CT 06320-4952
Phone (860) 439-1770

Other identifiers 1

IdentifierTypeStateIssuer
001400564MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000215 CT Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8325241912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

230 Waterford Pkwy S
Waterford, CT 06385-1219
Phone (860) 444-3744

Hospital & facility affiliations

  • Yale New Haven Health - Health at Home Southeast Home health agency, Waterford, CT, CCN 077015
  • Home Care Plus, Inc Hospice, Guilford, CT, CCN 071544
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040056CTMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Oncology & Hematology Associates, PC Hematology & Oncology Past Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

194 Howard St
New London, CT 06320
Phone (860) 442-0564

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

3 Shaws Cv
Ste 201
New London, CT 06320
Phone (860) 439-1770

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

230 Waterford Parkway S
Ste 201
Waterford, CT 06385
Phone (860) 444-3744

40 Boston Post Rd
Waterford, CT 06385
Phone (860) 271-4900

230 Waterford Parkway S
Waterford, CT 06385
Phone (860) 271-4360

Interoperability endpoints

  • Direct secure messaging: jhaldas329690@direct.ynhh.org

Organizations & group practices 2

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

Hospital & facility affiliations 7

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1275532541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHAWS CV",
            "address_2": "SUITE 201",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204952",
            "telephone_number": "860-439-1770",
            "fax_number": "860-447-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHAWS CV",
            "address_2": "SUITE 201",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204952",
            "telephone_number": "860-439-1770",
            "fax_number": "860-447-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDAS",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CT",
            "license": "040056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001400564",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.