Jason Pagan

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

Practice address

56 Franklin St
Waterbury, CT 06706-1253

Phone

(203) 709-6000

NPI assigned

Jul 3, 2012

Reactivated

Jul 5, 2023

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Ancillary Services, PLLC

  • Anesthesiology Physician
  • Pomona, NY
  • NPI 1427344373

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Quality Anesthesia Associates LLC

  • Health Service Clinic/Center
  • Bay Shore, NY
  • NPI 1508910217
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1548524663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061253",
            "telephone_number": "203-709-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "deactivation_date": "2020-01-29",
        "reactivation_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenid M Pacheco
• Joseph Pacheco Sr., D.C.
• Yanira Pacheco
• Samantha Ann Pacileo
• Michael Arcangel Padilla, LCSW
• Claire Pagini
• Jonica Pagnucco, PA
• Pain & Spine Specialists of Connecticut, LLC
• Pain & Spine Specialists of Connecticut, LLC
• Pain Management Partners LLC

• Speech/Language/Hearing Specialist/Technologist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Speech/Language/Hearing Specialist/Technologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.