Jude J Ade, PA
Individual provider Active NPI Physician Assistant · Farmington, CT
NPI 1508865585 · NPPES record last updated Oct 7, 2014
Key facts
- NPI
- 1508865585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 000754 (CT)
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-1930 - Phone
- (860) 679-2588
- Fax
- (860) 679-3489
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
896 Washington St
Middletown, CT 06457-2912
Phone (860) 788-3632
Hospital & facility affiliations
- Middlesex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000106 | CT | Practitioner - Physician Assistant | 7719944354 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000754 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 754 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current |
Accepting new patients | |
| Hartford Hospital | Current |
Accepting new patients | |
| MHS Primary Care Inc | Physician Assistant | Current |
Accepting new patients |
| MHS Primary Care Inc | Physician Assistant | Current |
Accepting new patients |
| MHS Primary Care | Physician Assistant | Current |
Accepting new patients |
| MHS Primary Care, Inc | Physician Assistant | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
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
- jude.ade@xdr.hhchealthdirect.org
- jade18758@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000754 | CT | Yes |
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
Other providers in Farmington, CT
- Katherine Frances Adams
- Lauryn B Adams
- Martha G Adams
- Nancy Day Adams
- Adapt & Learn, LLC
- Olaoluwa Olaniyi Adebayo
- Judith Remon Adel
- Daniel Lindorff Adelman
- Omolade Marie Adeniyi
- Linganatha Anil Adisesh
All providers in Farmington, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.