Jay M Ginsberg, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

23310 Issued in CT

Practice address

88 Norwich New London Tpke
Suite #2
Uncasville, CT 06382-2518

Phone

(860) 367-0087

Fax

(860) 367-0117

NPI assigned

Sep 19, 2005

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southeastern Connecticut Nephrology Associates PC

  • Nephrology Physician
  • Uncasville, CT
  • NPI 1619031796
  Medicare reassignment NPD
• Southeastern CT Nephrology Assoc.

  • Adult Health Nurse Practitioner
  • Uncasville, CT
  • NPI 1821426099
  NPD Authorized official

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1841285509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE",
            "address_2": "SUITE #2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822518",
            "telephone_number": "860-367-0087",
            "fax_number": "860-367-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE",
            "address_2": "SUITE #2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822518",
            "telephone_number": "860-367-0087",
            "fax_number": "860-367-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBERG",
        "first_name": "JAY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "23310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233105",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa Jalen Finney, PT, DPT
• Brandie D Frechette, RDH
• Peggy H Fujimura, MD
• Deborah Gallacher, PT
• Aidan Joseph Gallagher
• Greater Norwich Chiropractic, PLLC
• John Clay Gregor, RPH
• Peter S Hahn, M.D.
• Mihkel J Haus, MD
• Danielle Hoffman, BCBA

• Nephrology Physician in Uncasville, CT
• Providers in Uncasville, CT by specialty
• Nephrology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.