Individual provider Active NPI

Jean-Luc G Sebabi, PA-C

  • Physician Assistant
  • Hamden, CT
National Provider Identifier
1811634736
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5710 Issued in CT
Practice address
2416 Whitney Ave FL 1
Hamden, CT 06518-3248
Phone
(203) 407-3550
Fax
(203) 407-4244
NPI assigned
May 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5710 CT Primary

Addresses

Primary practice location

2416 Whitney Ave FL 1
Hamden, CT 06518-3248

Mailing address

2 Barnes Industrial Rd S
Wallingford, CT 06492-2486
Phone (203) 626-0160

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823001224 CT Practitioner - Physician Assistant 5193108264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 301-6261

84 N Main St
Branford, CT 06405-3061
Phone (203) 483-2509

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Orthopaedic Specialists, PC Physician Assistant CurrentSince Jan 26, 2026 Accepting new patients
Northeast Medical Group, Inc CurrentSince Aug 29, 2022 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Jan 26, 2026 Accepting new patients

Locations

84 N Main St
Ofc
Branford, CT 06405

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

2416 Whitney Ave
Ste 1
Hamden, CT 06518

2416 Whitney Ave
Fl 1
Hamden, CT 06518
Phone (203) 407-3550

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

330 Bridgeport Ave
Shelton, CT 06484
Phone (203) 538-0020

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

701 N Colony Rd
Wallingford, CT 06492
Phone (203) 265-1800

Interoperability endpoints

  • Direct secure messaging: jsebabi582102@direct.ynhh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1811634736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922486",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 WHITNEY AVE FL 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183248",
            "telephone_number": "203-407-3550",
            "fax_number": "203-407-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBABI",
        "first_name": "JEAN-LUC",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.