Active NPI
Jonathan Torres, PA
- Physician Assistant
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5657
- Practice address
- 968 Fairfield Ave
Bridgeport, CT 06605-1116 - Phone
- (203) 852-2000
- NPI assigned
- May 16, 2022
- Last updated
- Sep 21, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5657 | CT | Primary |
Addresses
Primary practice location
968 Fairfield Ave
Bridgeport, CT 06605-1116
Mailing address
34 Lincoln St
Trumbull, CT 06611-4611
Phone (203) 209-0026
Other practice location 1
61 Pomeroy Ave
Meriden, CT 06450-7482
Phone (203) 694-5340
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Drexel University College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1045 Post E Rd
Westport, CT 06880-5370
Phone (203) 557-8200
161 Boston Ave
Bridgeport, CT 06610-1662
Phone (203) 333-4400
1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone (203) 583-8400
389 Bridgeport Ave
Shelton, CT 06484-5303
Phone (203) 567-4171
4200 Main St
Bridgeport, CT 06606-2303
Phone (203) 916-5151
527 Elm St
New Haven, CT 06511-4549
Phone (203) 675-1345
57 Monroe Tpke
Trumbull, CT 06611-1315
Phone (203) 675-1345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5657 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Urgent Care Centers, LLC | Current | Accepting new patients | |
| Westport Urgent Care LLC | Current | Accepting new patients |
Locations
68 Division St
Derby, CT 06418
Phone (203) 732-6802
875 E Main St
Meriden, CT 06450
Phone (203) 235-6827
1045 Post Rd E
Westport, CT 06880
Phone (203) 259-2124
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Westport, CT
- NPI 1154672483
-
- Urgent Care Clinic/Center
- Bridgeport, CT
- NPI 1487087250
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1699703686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1821735507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 LINCOLN ST",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114611",
"telephone_number": "203-209-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 FAIRFIELD AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066051116",
"telephone_number": "203-852-2000"
}
],
"practiceLocations": [
{
"address_1": "61 Pomeroy Ave",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064507482",
"country_code": "US",
"telephone_number": "203-694-5340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "JONATHAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "5657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.