Individual provider Active NPI

Jonathan Eric Harwin, M.D.

  • Pediatrics Physician
  • Branford, CT
National Provider Identifier
1376692160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
035287 Issued in CT
Practice address
682 E Main St
Branford, CT 06405-2907
Phone
(203) 481-5591
Fax
(203) 481-5594
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 035287 CT Primary

Addresses

Primary practice location

682 E Main St
Branford, CT 06405-2907

Mailing address

682 E Main St
Branford, CT 06405-2907
Phone (203) 481-5591

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
I20200527001190 CT Practitioner - Pediatric Medicine 3476974643 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035287CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Branford North Branford Pediatrics,PC Past Accepting new patients

Locations

682 E Main St
Branford, CT 06405
Phone (203) 481-5591

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: jonathan.harwin.npi1376692160.phpct@direct.optumcare.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376692160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 E MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052907",
            "telephone_number": "203-481-5591",
            "fax_number": "203-481-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 E MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052907",
            "telephone_number": "203-481-5591",
            "fax_number": "203-481-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWIN",
        "first_name": "JONATHAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "035287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.