Individual provider Active NPI

Jay Esposito, M.D.

  • Pediatrics Physician
  • Trumbull, CT
National Provider Identifier
1295799872
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
028831 Issued in CT
Practice address
888 White Plains Rd
Suite 214
Trumbull, CT 06611-4552
Phone
(203) 268-1600
Fax
(203) 268-3320
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 028831 CT Primary

Addresses

Primary practice location

888 White Plains Rd
Suite 214
Trumbull, CT 06611-4552

Mailing address

888 White Plains Rd
Suite 214
Trumbull, CT 06611-4552
Phone (203) 268-1600

Other identifiers 1

IdentifierTypeStateIssuer
001288316MedicaidCT

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028831CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Pediatrics Past Accepting new patients
Primed, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jesposito5976@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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1295799872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD",
            "address_2": "SUITE 214",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-1600",
            "fax_number": "203-268-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD",
            "address_2": "SUITE 214",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-1600",
            "fax_number": "203-268-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "028831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001288316",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.