Individual provider Active NPI

Jared Diamond Wasser, M.D., M.P.H.

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1528334695
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53462 Issued in CT
Practice address
631 S Quaker LN
West Hartford, CT 06110-1043
Phone
(860) 233-5133
NPI assigned
Mar 22, 2012
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53462 CT Primary
Hospitalist Physician 208M00000X 53462 CT

Addresses

Primary practice location

631 S Quaker LN
West Hartford, CT 06110-1043

Mailing address

631 S Quaker LN
West Hartford, CT 06110-1043
Phone (860) 233-5133

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150910000237 CT Practitioner - Internal Medicine 2163745241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

631 Quaker S LN
West Hartford, CT 06110-1026
Phone (860) 231-6130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Quotidian Health LLC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Nov 1, 2021 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Nov 1, 2021 Accepting new patients
Prohealth Physicians PC Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

33 Dixwell Ave
New Haven, CT 06511
Phone (800) 805-0759

139 Toddy Hill Rd
Sandy Hook, CT 06482
Phone (203) 426-5847

27 Hospital Hill Rd
Sharon, CT 06069
Phone (607) 303-9318

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

631 S Quaker Ln
West Hartfrd, CT 06110
Phone (860) 231-6130

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: jared.wasser@xdr.hhchealthdirect.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1528334695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S QUAKER LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101043",
            "telephone_number": "860-233-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S QUAKER LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101043",
            "telephone_number": "860-233-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSER",
        "first_name": "JARED",
        "middle_name": "DIAMOND",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "53462",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "53462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.