Active NPI
Jennifer S Dodge, PA-C
- Physician Assistant
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007193
- Practice address
- 110 S Bedford Rd
Mount Kisco, NY 10549-3446 - Phone
- (914) 242-1370
- NPI assigned
- Feb 8, 2007
- Last updated
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007193 | NY | Primary |
Addresses
Primary practice location
110 S Bedford Rd
Mount Kisco, NY 10549-3446
Mailing address
110 S Bedford Rd
Mount Kisco, NY 10549-3446
Phone (914) 242-1370
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Division St
Derby, CT 06418-1326
Phone (203) 732-1352
22 Westfield Ave
Ansonia, CT 06401-1158
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.99 of 100
- Quality
- 89.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Litchfield County Gastroenterology Associates, LLC | Past | Accepting new patients |
Locations
130 Division St
Derby, CT 06418
Phone (203) 732-1330
67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699
40 Temple St
Ste 4A
New Haven, CT 06510
Phone (203) 777-0304
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- jennifer.dodge.1@1323.direct.athenahealth.com
- jennifer.dodge@xdr.hhchealthdirect.org
- jdodge@cgc1052.srs-direct.com
Organizations & group practices 5
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Derby, CT
- NPI 1598755605
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Gastroenterology Physician
- Torrington, CT
- NPI 1871513283
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1558402230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493446",
"telephone_number": "914-242-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493446",
"telephone_number": "914-242-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "JENNIFER",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.