Active NPI
Jason C Cordone, ATC
- Athletic Trainer
- New Haven, CT
National Provider Identifier
1689452740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000277
- Practice address
- 20 Tower Pkwy
New Haven, CT 06511-3640 - Phone
- (203) 432-2467
- NPI assigned
- Sep 20, 2023
- Last updated
- Sep 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000277 | CT | Primary |
Addresses
Primary practice location
20 Tower Pkwy
New Haven, CT 06511-3640
Mailing address
20 Tower Pkwy
New Haven, CT 06511-3640
Phone (203) 432-2467
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000277 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1689452740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 TOWER PKWY",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113640",
"telephone_number": "203-432-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 TOWER PKWY",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113640",
"telephone_number": "203-432-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDONE",
"first_name": "JASON",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "000277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.