Jan Mashman, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

CT013908 Issued in CT

Practice address

69 Sand Pit Rd
Ste 300
Danbury, CT 06810-4004

Phone

(203) 748-2551

Fax

(203) 790-6375

NPI assigned

Jun 16, 2005

Last updated

Jun 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Associated Neurologists, PC

  • Neurology Physician
  • Danbury, CT
  • NPI 1073539052
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1639174618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "STE 300",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-748-2551",
            "fax_number": "203-790-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "address_2": "STE 300",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-748-2551",
            "fax_number": "203-790-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHMAN",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "CT013908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010013908CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1139088",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soribel Martinez, MS
• Natalie Martinico, PA-C
• Rodrigo Sampaio Martins, LCSW
• Suzanne J Martins, LMT
• Lisa Marwin-Finn, RDN, CDN, CDCES
• Amber Mason, LPC
• Elena Marie Masters, DO
• Vivian M Mastroianni, PA C
• Tamar Mathias, MD
• Cynthia Mathieu

• Neurology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.