Jayashree Venkatesh, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

034733 Issued in CT

Practice address

893 Main St
Suite 303
East Hartford, CT 06108-2292

Phone

(860) 289-3047

Fax

(860) 528-4735

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Hartford Pediatric, LLC.

  • Community Health Worker
  • East Hartford, CT
  • NPI 1700898764
  NPD (past) Authorized official

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1447487723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "address_2": "SUITE 303",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082292",
            "telephone_number": "860-289-3047",
            "fax_number": "860-528-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "address_2": "SUITE 303",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082292",
            "telephone_number": "860-289-3047",
            "fax_number": "860-528-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "JAYASHREE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "034733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Varley
• Vatas Integrative Psychiatry & Wellness, LLC
• Sasha Delores Veal
• Veda Psychotherapy, PLLC
• Jose R Velazquez, BS
• Veritas Diagnostic Labs LLC
• Veritas Diagnostic Labs LLC
• Chantel Vernon
• Anthony Veturis
• Benjamin Villaparedes

• Pediatric Adolescent Medicine Physician in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.