Individual provider Active NPI

Jude J Ade, PA

  • Physician Assistant
  • Farmington, CT
National Provider Identifier
1508865585
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000754 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-1930
Phone
(860) 679-2588
Fax
(860) 679-3489
NPI assigned
Jul 20, 2005
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000754 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-1930

Mailing address

263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-7503

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000106 CT Practitioner - Physician Assistant 7719944354 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

896 Washington St
Middletown, CT 06457-2912
Phone (860) 788-3632

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000754CTMDMarriage & Family Therapist
754CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care Inc Physician Assistant CurrentSince Oct 2, 2019 Accepting new patients
Hartford Hospital CurrentSince Jan 1, 2020 Accepting new patients
MHS Primary Care Inc Physician Assistant CurrentSince Oct 2, 2019 Accepting new patients
Hartford Hospital CurrentSince Jan 1, 2020 Accepting new patients
MHS Primary Care Physician Assistant CurrentSince Apr 13, 2022 Accepting new patients
MHS Primary Care, Inc Physician Assistant Past Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

896 Washington St
Middletown, CT 06457
Phone (860) 788-3632

154 Main St
Old Saybrook, CT 06475
Phone (860) 395-1212

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

Interoperability endpoints

  • Direct secure messaging: jade18758@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: jude.ade@xdr.hhchealthdirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1508865585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301930",
            "telephone_number": "860-679-2588",
            "fax_number": "860-679-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADE",
        "first_name": "JUDE",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.