Individual provider Active NPI

Jason Rolo

  • Taxi
  • Suffield, CT
National Provider Identifier
1841706165
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
1212 Issued in CT
Practice address
1277 South St
Suffield, CT 06078-2521
Phone
(860) 869-4111
NPI assigned
Dec 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X 1212 CT Primary

Addresses

Primary practice location

1277 South St
Suffield, CT 06078-2521

Mailing address

L6 Surrey LN
Torrington, CT 06790-2822
Phone (860) 485-4898

Other practice location 1

L6 Surrey Ln
Torrington, CT 06790-2822
Phone (860) 485-4898

Other identifiers 1

IdentifierTypeStateIssuer
1212OtherCTPATRIOT TAXI

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

State licenses

LicenseStateTypeSpecialty
1212CTMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1841706165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L6 SURREY LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902822",
            "telephone_number": "860-485-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 SOUTH ST",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782521",
            "telephone_number": "860-869-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "L6 Surrey Ln",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067902822",
            "country_code": "US",
            "telephone_number": "860-485-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLO",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "CT",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATRIOT TAXI",
            "identifier": "1212",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.