Active NPI
Jennifer G Jose, M.D.
- Internal Medicine Physician
- Stamford, CT
National Provider Identifier
1619035243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 037301
- Practice address
- 1767 Summer St Ste 1
Stamford, CT 06905-5123 - Phone
- (203) 662-9602
- Fax
- (203) 662-0061
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037301 | CT | MD | Internal Medicine Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 037301 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1767 Summer St Ste 1
Stamford, CT 06905-5123
Mailing address
1767 Summer St Ste 1
Stamford, CT 06905-5123
Phone (203) 662-9602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2026.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1619035243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1767 SUMMER ST STE 1",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055123",
"telephone_number": "203-662-9602",
"fax_number": "203-662-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 SUMMER ST STE 1",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055123",
"telephone_number": "203-662-9602",
"fax_number": "203-662-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "JENNIFER",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "037301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.