Active NPI
Jacqueline K. Henchel, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- New Haven, CT
National Provider Identifier
1720089881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 014731
- Practice address
- 874 Howard Ave
New Haven, CT 06519-1106 - Phone
- (203) 688-8200
- Fax
- (203) 688-8204
- NPI assigned
- Aug 10, 2005
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 014731 | CT | Primary |
Addresses
Primary practice location
874 Howard Ave
New Haven, CT 06519-1106
Mailing address
874 Howard Ave
New Haven, CT 06519-1106
Phone (203) 688-8200
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061561581 | Other | CT | CIGNA |
| 0Q2382 | Other | CT | HEALTH NET |
| 180747 | Other | CT | WELLCARE OF CT |
| 714531 | Other | CT | CONNECTICARE |
| 001147314 | Medicaid | CT | |
| 061561581 | Other | CT | HEALTH CT |
| 110196702 | Other | CT | RAIL ROAD MEDICARE |
| 2026136 | Other | CT | AETNA |
| 010014731CT03 | Other | CT | ANTHEM BC/BS |
| 061561581 | Other | CT | UNITED HEALTHCARE |
| P488325 | Other | CT | OXFORD |
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 |
|---|---|---|---|
| 014731 | CT | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1720089881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191106",
"telephone_number": "203-688-8200",
"fax_number": "203-688-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191106",
"telephone_number": "203-688-8200",
"fax_number": "203-688-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENCHEL",
"first_name": "JACQUELINE",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CT",
"license": "014731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "061561581",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0Q2382",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF CT",
"identifier": "180747",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "714531",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001147314",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CT",
"identifier": "061561581",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "110196702",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2026136",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010014731CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "061561581",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P488325",
"state": "CT"
}
],
"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 Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.