Active NPI
Jessica M Gjede, M.D.
- Dermatology Physician
- Rocky Hill, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 052822
- Practice address
- 1111 Cromwell Ave.
Suite 202
Rocky Hill, CT 06067 - Phone
- (860) 348-4242
- Fax
- (860) 348-4646
- NPI assigned
- Apr 8, 2010
- Last updated
- Jun 19, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 052822 | CT | Primary |
Addresses
Primary practice location
1111 Cromwell Ave.
Suite 202
Rocky Hill, CT 06067
Mailing address
30 Hoffmann Rd.
Canton, CT 06019
Phone (860) 830-4714
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Connecticut School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Darling Dr
Avon, CT 06001-4277
Phone (860) 348-4242
100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480
1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 512 |
| Skin biopsy | 225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Physicians, PLLC | Current | Accepting new patients | |
| Starling Physicians PLLC | Current | Accepting new patients | |
| Starling Physicians, PLLC | Past | Accepting new patients |
Locations
1 Darling Dr
Avon, CT 06001
Phone (860) 348-4242
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050
300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200
1111 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 348-4242
1111 Cromwell Ave
Ste 202
Rocky Hill, CT 06067
Phone (203) 397-8000
Interoperability endpoints
- jgjede102192@xdr.hhchealthdirect.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
-
dba Starling Physicians PC
- Mammography Clinic/Center
- New Britain, CT
- NPI 1720182991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1750607362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HOFFMANN RD.",
"city": "CANTON",
"state": "CT",
"postal_code": "06019",
"telephone_number": "860-830-4714",
"fax_number": "860-348-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 CROMWELL AVE.",
"address_2": "SUITE 202",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "06067",
"telephone_number": "860-348-4242",
"fax_number": "860-348-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GJEDE",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "052822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.