Individual provider Active NPI

Jaime Ernesto Rodriguez-Nazario, CPS

  • Peer Specialist
  • Orange, CT
National Provider Identifier
1770436818
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
25632 Issued in CT
Practice address
200 Edison Rd
Orange, CT 06477-3602
Phone
(203) 508-5784
NPI assigned
Feb 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 25632 CT Primary

Addresses

Primary practice location

200 Edison Rd
Orange, CT 06477-3602

Mailing address

1257 Barnum Ave Apt 1
Bridgeport, CT 06610-2843
Phone (347) 488-7403

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

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1770436818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 BARNUM AVE APT 1",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102843",
            "telephone_number": "347-488-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EDISON RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773602",
            "telephone_number": "203-508-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-NAZARIO",
        "first_name": "JAIME",
        "middle_name": "ERNESTO",
        "credential": "CPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CT",
            "license": "25632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.