Active NPI
Jason R Haldas, M.D.
- Hematology & Oncology Physician
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 040056
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001400564 | Medicaid | CT |
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 Compare- Specialty
- Hematology/Oncology
- Education
- University of Virginia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 Care Plus, Inc
- Lawrence & Memorial Hospital
- Westerly Hospital
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 040056 | CT | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Hematology & Oncology Physician
- New London, CT
- NPI 1942230982
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- Home Health Agency
- Waterford, CT
- NPI 1265490940
-
- Community Based Hospice Care Agency
- Guilford, CT
- NPI 1447606116
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.