Active NPI
Jonathan H. Tress M.D. LLC
- Infectious Disease Physician
- Hartford, CT
National Provider Identifier
1851587034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 26116
- Legal business name
- JONATHAN H. TRESS M.D. LLC
- Practice address
- 100 Retreat Ave
Suite 200
Hartford, CT 06106-2528 - Phone
- (860) 548-9293
- Fax
- (860) 548-9933
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Harold Tress, M.D
- Title
- Owner
- Phone
- (860) 548-9293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 26116 | CT | Primary |
Addresses
Primary practice location
100 Retreat Ave
Suite 200
Hartford, CT 06106-2528
Mailing address
100 Retreat Ave
Suite 200
Hartford, CT 06106-2528
Phone (860) 548-9293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040413001048 | CT | Part B Supplier - Clinic/Group Practice | 3678567559 | Practice locations: Hartford, CT |
National Provider Directory
National Provider DirectoryLocations
100 Retreat Ave
Ste 200
Hartford, CT 06106
Phone (860) 548-9293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1851587034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RETREAT AVE",
"address_2": "SUITE 200",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062528",
"telephone_number": "860-548-9293",
"fax_number": "860-548-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RETREAT AVE",
"address_2": "SUITE 200",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062528",
"telephone_number": "860-548-9293",
"fax_number": "860-548-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN H. TRESS M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "TRESS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-548-9293",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CT",
"license": "26116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.