Active NPI
Jordan Buchla
- Nurse Practitioner
- Newtown, CT
National Provider Identifier
1386480705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 13415
- Practice address
- 32 Church Hill Rd
Newtown, CT 06470-1638 - Phone
- (203) 491-2999
- Fax
- (203) 666-5651
- NPI assigned
- Jul 4, 2024
- Last updated
- Mar 3, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13415 | CT | Primary |
Addresses
Primary practice location
32 Church Hill Rd
Newtown, CT 06470-1638
Mailing address
32 Church Hill Rd
Newtown, CT 06470-1638
Phone (203) 491-2999
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32 Church Hill Rd
BLDG E
Newtown, CT 06470-1638
Phone (203) 491-2999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13415 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rejuvenation Therapy | Current | Accepting new patients |
Locations
32 Church Hill Rd
Bldg E
Newtown, CT 06470
Phone (203) 491-2999
Organizations & group practices 1
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.
-
dba BioRestore
- Orthopaedic Surgery Physician
- Newtown, CT
- NPI 1063137271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1386480705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 CHURCH HILL RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701638",
"telephone_number": "203-491-2999",
"fax_number": "203-666-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 CHURCH HILL RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701638",
"telephone_number": "203-491-2999",
"fax_number": "203-666-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHLA",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-04",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "13415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.