Individual provider Active NPI

Jason Asselin, PA-C

  • Physician Assistant
  • New Haven, CT
National Provider Identifier
1811910128
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024631 Issued in NY
Practice address
1450 Chapel St
New Haven, CT 06511-4405
Phone
(475) 227-7503
NPI assigned
Jul 26, 2006
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 024631 NY Primary
Surgical Physician Assistant 363AS0400X 963 CT
Surgery Physician 208600000X 963 CT

Addresses

Primary practice location

1450 Chapel St
New Haven, CT 06511-4405

Mailing address

1910 South Rd
Poughkeepsie, NY 12601-6053
Phone (845) 454-0120

Other practice location 1

226 White St
Danbury, CT 06810-6814
Phone (203) 797-1500

Other practice location 2

1910 South Rd
Poughkeepsie, NY 12601-6053
Phone (845) 454-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200305000102 NY Practitioner - Physician Assistant 9234321555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Dutchess County P C CurrentSince Feb 24, 2020 Accepting new patients
Orthoconnecticut, PLLC Past Accepting new patients

Locations

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

3141 US Route 9W
Ste 100
New Windsor, NY 12553
Phone (845) 454-0120

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

Interoperability endpoints

  • Direct secure messaging: jasselin@doa1744.srs-direct.com
  • Direct secure messaging: jasselin@ons.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1811910128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SOUTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016053",
            "telephone_number": "845-454-0120",
            "fax_number": "845-454-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114405",
            "telephone_number": "475-227-7503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 White St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106814",
            "country_code": "US",
            "telephone_number": "203-797-1500",
            "fax_number": "203-797-1817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 South Rd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126016053",
            "country_code": "US",
            "telephone_number": "845-454-0120",
            "fax_number": "845-454-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASSELIN",
        "first_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024631",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "963",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.