Active NPI
Reynold Jaglal, P.A.
- Physician Assistant
- Greenwich, CT
National Provider Identifier
1295756278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000614
- Practice address
- 5 Perryridge Rd
Emergency Department
Greenwich, CT 06830-4608 - Phone
- (203) 863-3637
- Fax
- (203) 863-3821
- NPI assigned
- Jul 22, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000614 | CT | Primary |
Addresses
Primary practice location
5 Perryridge Rd
Emergency Department
Greenwich, CT 06830-4608
Mailing address
5 Perryridge Rd
Emergency Department
Greenwich, CT 06830-4608
Phone (203) 863-3637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000614 | CT | MD | Professional Counselor |
Interoperability endpoints
- rjaglal9511@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295756278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3637",
"fax_number": "203-863-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"address_2": "EMERGENCY DEPARTMENT",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3637",
"fax_number": "203-863-3821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGLAL",
"first_name": "REYNOLD",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.