Active NPI
Monica Jain & Associates,LLC
- Internal Medicine Physician
- Trumbull, CT
National Provider Identifier
1356721385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- CT 042050
- Legal business name
- MONICA JAIN & ASSOCIATES,LLC
- Practice address
- 115 Technology Dr
Suite B106
Trumbull, CT 06611-6337 - Phone
- (704) 649-0104
- NPI assigned
- Jun 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Jain, M.D
- Title
- Director
- Phone
- (704) 649-0104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CT 042050 | CT | Primary |
Addresses
Primary practice location
115 Technology Dr
Suite B106
Trumbull, CT 06611-6337
Mailing address
47 Taylor PL
Southport, CT 06890-1119
Phone (704) 649-0104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
52 Beach Rd
Ste 101
Fairfield, CT 06824
Phone (203) 692-2180
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fairfield, CT
- NPI 1568423838
-
- Medical Physician Assistant
- Fairfield, CT
- NPI 1265174957
-
- Physician Assistant
- Fairfield, CT
- NPI 1720871924
-
- Physician Assistant
- Storrs, CT
- NPI 1487347555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433376000000",
"number": "1356721385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 TAYLOR PL",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901119",
"telephone_number": "704-649-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR",
"address_2": "SUITE B106",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116337",
"telephone_number": "704-649-0104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONICA JAIN & ASSOCIATES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "704-649-0104",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "CT 042050",
"primary": true
}
],
"identifiers": [],
"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 Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.