Jason M Davis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

045292 Issued in CT

Practice address

183 Cherry St
New Canaan, CT 06840-4820

Phone

(203) 972-5232

Fax

(203) 972-5234

NPI assigned

Feb 2, 2006

Last updated

Jul 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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.

• New England Pediatrics, LLP

  • Pediatrics Physician
  • New Canaan, CT
  • NPI 1205844115
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1467424606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 CHERRY ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404820",
            "telephone_number": "203-972-5232",
            "fax_number": "203-972-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 CHERRY ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404820",
            "telephone_number": "203-972-5232",
            "fax_number": "203-972-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "045292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Crolla, O.D.
• John Alexander Crouch, PH.D.
• Teresa D'Elisa, PSYD
• Dana Surena Mattson, SLP, Com, LLC
• Darbonshire, LLC
• David Dayya, D.O., M.P.H.
• Ellen De Moll, MD
• Meaghan Dearwester, PA
• Kianna L Deciucis
• Lawrence Delibero, DMD

• Pediatrics Physician in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.